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 / $64.57 / $79.43	Professional		$57.54	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $147.91	Professional		$81.28	$104.71	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $147.91	Facility		$60.26	$81.28	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $588.84	Professional		$70.79	$131.83	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $154.88	Professional		$109.65	$120.23	$154.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $204.17	Professional		$89.13	$125.89	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $208.93	Professional		$87.10	$141.25	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $154.88	Professional		$91.20	$109.65	$154.88