Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Facility		$75.15	$75.15	$75.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $90.93	Professional		$75.15	$75.15	$90.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $77.34 / $95.72	Professional		$76.58	$77.34	$95.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $107.54 / $205.91	Facility		$82.42	$107.54	$205.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.69 / $75.69	Professional		$75.15	$75.69	$75.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $55.99 / $90.17	Facility		$31.36	$55.99	$90.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $85.67 / $105.65	Professional		$29.06	$85.67	$105.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $73.53 / $73.53	Professional		$73.53	$73.53	$73.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $86.42	Professional		$79.43	$79.43	$86.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Facility		$75.15	$75.15	$75.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Professional		$75.15	$75.15	$75.15