Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $67.16 / $84.62	Professional		$45.99	$67.16	$84.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.66 / $82.50	Professional		$66.00	$66.66	$82.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $96.04 / $184.02	Facility		$74.89	$96.04	$184.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $72.70 / $72.70	Professional		$16.82	$72.70	$72.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $30.19 / $37.65	Facility		$29.78	$30.19	$37.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $34.25 / $50.99	Professional		$23.20	$34.25	$50.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $64.02 / $64.02	Professional		$30.23	$64.02	$64.02
United Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $72.70 / $74.68	Professional		$56.18	$72.70	$74.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Facility		$63.01	$63.01	$63.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Professional		$63.01	$63.01	$63.01