Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $173.49 / $264.77	Facility		$66.38	$173.49	$264.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $66.38	Professional		$55.10	$56.42	$66.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $69.38 / $86.72	Professional		$69.38	$69.38	$86.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $100.96 / $168.15	Facility		$75.93	$100.96	$168.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $63.06	Professional		$56.50	$56.50	$63.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $93.08 / $131.30	Facility		$71.19	$93.08	$131.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $93.08 / $155.74	Professional		$71.19	$93.08	$155.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $8.21	Professional		$8.21	$8.21	$8.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $62.15	Professional		$56.50	$56.50	$62.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Professional		$8.05	$8.05	$8.05