Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $81.28	Facility		$72.44	$72.44	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $81.28	Professional		$57.54	$69.18	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $194.98	Professional		$154.88	$162.18	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $147.91	Facility		$63.10	$75.86	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $512.86	Professional		$74.13	$151.36	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $162.18	Professional		$100.00	$144.54	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $162.18	Professional		$87.10	$109.65	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $177.83	Professional		$91.20	$141.25	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $123.03	Professional		$89.13	$109.65	$123.03