Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $74.23 / $79.73	Professional		$60.74	$74.23	$79.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $101.72 / $101.72	Professional		$81.38	$101.72	$101.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $77.59 / $134.76	Facility		$60.74	$77.59	$134.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $129.33 / $472.20	Professional		$84.00	$129.33	$472.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.42 / $122.37 / $172.41	Facility		$95.42	$122.37	$172.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $126.29 / $188.08	Professional		$107.72	$126.29	$188.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $107.07 / $143.61	Professional		$86.17	$107.07	$143.61
United Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $138.56 / $150.11	Professional		$86.35	$138.56	$150.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $108.20 / $108.20	Professional		$89.30	$108.20	$108.20