Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $79.79 / $79.79	Facility		$79.79	$79.79	$79.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $79.79 / $91.55	Professional		$64.63	$79.79	$91.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $96.01 / $134.00	Professional		$79.45	$96.01	$134.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $126.43 / $177.09	Facility		$80.64	$126.43	$177.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $158.08 / $567.27	Professional		$90.86	$158.08	$567.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.65 / $151.88 / $207.04	Facility		$110.65	$151.88	$207.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $149.37 / $166.94	Professional		$118.66	$149.37	$166.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $146.82 / $172.72	Professional		$108.17	$146.82	$172.72
United Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $162.59 / $176.71	Professional		$90.86	$162.59	$176.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $130.19 / $130.19	Professional		$126.40	$130.19	$130.19