Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.48 / $73.48	Facility		$73.48	$73.48	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $105.43	Professional		$73.48	$73.48	$105.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $127.69 / $159.61	Professional		$100.98	$127.69	$159.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.09 / $124.20 / $201.36	Facility		$105.09	$124.20	$201.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $49.15 / $350.04	Professional		$41.55	$49.15	$350.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $84.35 / $136.33	Facility		$39.93	$84.35	$136.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $84.35 / $136.33	Professional		$39.93	$84.35	$136.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $169.35 / $193.10	Professional		$143.94	$169.35	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $41.55 / $73.73	Professional		$29.52	$41.55	$73.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $70.29 / $70.29	Professional		$70.29	$70.29	$70.29