Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $69.22 / $80.22	Facility		$44.05	$69.22	$80.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $82.57	Professional		$69.20	$69.22	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $78.83 / $98.53	Professional		$78.83	$78.83	$98.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $116.98 / $189.66	Facility		$81.43	$116.98	$189.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $85.10 / $85.10	Professional		$81.43	$85.10	$85.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.29 / $95.15 / $95.99	Facility		$94.29	$95.15	$95.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $94.41 / $159.21	Professional		$86.08	$94.41	$159.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $77.36 / $77.36	Professional		$26.00	$77.36	$77.36
United Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $85.10 / $87.42	Professional		$81.43	$85.10	$87.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Facility		$67.98	$67.98	$67.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Professional		$67.98	$67.98	$67.98