Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $75.84 / $196.62	Facility		$75.84	$75.84	$196.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $75.84 / $75.84	Professional		$74.45	$75.84	$75.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $53.40 / $66.09	Professional		$52.88	$53.40	$66.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $106.48 / $204.02	Facility		$57.82	$106.48	$204.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $81.81 / $81.81	Professional		$63.21	$81.81	$81.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $63.58 / $63.58	Professional		$63.58	$63.58	$63.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Professional		$75.84	$75.84	$75.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $81.81 / $84.04	Professional		$52.94	$81.81	$84.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Facility		$73.00	$73.00	$73.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00