Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $67.01 / $80.90	Professional		$57.69	$67.01	$80.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $102.19 / $146.25	Professional		$81.75	$102.19	$146.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $84.99 / $146.44	Facility		$59.70	$84.99	$146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $130.59 / $590.72	Professional		$82.08	$130.59	$590.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $128.55 / $174.72	Facility		$96.70	$128.55	$174.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $121.31 / $183.99	Professional		$96.70	$121.31	$183.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $124.83 / $196.06	Professional		$88.80	$124.83	$196.06
United Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $141.12 / $202.34	Professional		$86.35	$141.12	$202.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $110.70 / $155.50	Professional		$91.30	$110.70	$155.50