Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $60.55 / $60.55	Professional		$43.15	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $116.85 / $146.06	Professional		$74.67	$116.85	$146.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $72.92 / $305.95	Facility		$60.79	$72.92	$305.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $57.97 / $96.62	Professional		$32.85	$57.97	$96.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $112.72 / $126.76	Facility		$77.29	$112.72	$126.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $112.72 / $126.76	Professional		$77.29	$112.72	$126.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $155.18 / $176.95	Professional		$64.41	$155.18	$176.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $77.29	Professional		$27.05	$38.65	$77.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Professional		$64.41	$64.41	$64.41