Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $84.49	Facility		$84.49	$84.49	$84.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $118.09	Professional		$84.48	$84.49	$118.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $92.77 / $95.63	Professional		$76.50	$92.77	$95.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $142.79 / $231.50	Facility		$67.20	$142.79	$231.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $97.04	Professional		$91.11	$91.11	$97.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.34 / $172.86 / $193.07	Facility		$159.34	$172.86	$193.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $173.44 / $226.21	Professional		$109.94	$173.44	$226.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $84.49 / $84.49	Professional		$84.49	$84.49	$84.49
United Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $93.60	Professional		$91.11	$91.11	$93.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $82.83 / $82.83	Facility		$82.83	$82.83	$82.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $82.83	Professional		$82.83	$82.83	$82.83