Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Facility		$66.56	$66.56	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $139.50	Professional		$66.56	$66.56	$139.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $61.74 / $76.41	Professional		$61.13	$61.74	$76.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $95.18 / $182.37	Facility		$74.79	$95.18	$182.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Professional		$70.06	$70.06	$70.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $71.22 / $71.22	Facility		$71.22	$71.22	$71.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $71.22 / $71.33	Professional		$71.22	$71.22	$71.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $63.57 / $63.57	Professional		$63.57	$63.57	$63.57
United Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $70.06 / $71.98	Professional		$70.06	$70.06	$71.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Facility		$62.82	$62.82	$62.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Professional		$62.82	$62.82	$62.82