Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $82.67	Professional		$73.81	$73.81	$82.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $175.00	Professional		$140.00	$140.00	$175.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $106.04 / $202.27	Facility		$77.70	$106.04	$202.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $81.20 / $81.20	Professional		$73.81	$81.20	$81.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $88.58 / $113.72	Facility		$88.58	$88.58	$113.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $88.58 / $113.72	Professional		$84.15	$88.58	$113.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $66.05 / $66.05	Professional		$66.05	$66.05	$66.05
United Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $81.20 / $83.42	Professional		$77.70	$81.20	$83.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Professional		$73.81	$73.81	$73.81