Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Facility		$75.84	$75.84	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $72.83 / $87.55	Professional		$63.07	$72.83	$87.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $122.33 / $159.38	Professional		$90.00	$122.33	$159.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.64 / $92.31 / $159.03	Facility		$65.64	$92.31	$159.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $135.63 / $639.32	Professional		$85.25	$135.63	$639.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.58 / $138.80 / $191.62	Facility		$105.58	$138.80	$191.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $127.05 / $192.69	Professional		$105.58	$127.05	$192.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $136.38 / $212.04	Professional		$97.05	$136.38	$212.04
United Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $146.56 / $162.75	Professional		$88.33	$146.56	$162.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $120.90 / $168.20	Professional		$99.80	$120.90	$168.20