Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $65.67 / $65.67	Facility		$65.67	$65.67	$65.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $78.34	Professional		$65.67	$65.67	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $93.47	Professional		$74.78	$74.78	$93.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $110.98 / $179.94	Facility		$77.26	$110.98	$179.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $80.73 / $80.73	Professional		$77.26	$80.73	$80.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $91.07 / $92.64	Facility		$90.28	$91.07	$92.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $90.28 / $159.16	Professional		$64.05	$90.28	$159.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $73.41 / $73.41	Professional		$38.00	$73.41	$73.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $80.73 / $82.94	Professional		$77.26	$80.73	$82.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $64.51 / $64.51	Facility		$64.51	$64.51	$64.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $64.51 / $64.51	Professional		$64.51	$64.51	$64.51