Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.43 / $65.43 / $65.76	Facility		$65.43	$65.43	$65.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $66.26 / $82.92	Professional		$53.01	$66.26	$82.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $127.81 / $159.31	Professional		$80.09	$127.81	$159.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $106.02 / $143.85	Facility		$65.06	$106.02	$143.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $133.38 / $454.95	Professional		$77.84	$133.38	$454.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $137.96 / $142.43	Facility		$108.08	$137.96	$142.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $133.31 / $142.94	Professional		$102.86	$133.31	$142.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $117.13 / $137.79	Professional		$82.91	$117.13	$137.79
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $127.62 / $144.50	Professional		$72.34	$127.62	$144.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $103.30 / $103.80	Professional		$100.30	$103.30	$103.80