Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $83.18	Professional		$57.54	$67.61	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $112.20	Professional		$69.18	$81.28	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $144.54	Facility		$56.23	$89.13	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $489.78	Professional		$70.79	$117.49	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $177.83	Professional		$112.20	$128.82	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $173.78	Professional		$102.33	$102.33	$173.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $151.36	Professional		$87.10	$114.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $154.88	Professional		$69.18	$109.65	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $112.20	Professional		$87.10	$112.20	$112.20