Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $76.86 / $76.86	Facility		$76.86	$76.86	$76.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $65.33 / $76.86	Professional		$63.78	$65.33	$76.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $39.84 / $39.84	Professional		$31.88	$39.84	$39.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $98.91 / $189.53	Facility		$28.38	$98.91	$189.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $73.02	Professional		$64.05	$64.05	$73.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $59.12 / $91.36	Facility		$57.74	$59.12	$91.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $59.02 / $113.85	Professional		$57.74	$59.02	$113.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $16.34	Professional		$16.34	$16.34	$16.34
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $70.45	Professional		$64.05	$64.05	$70.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30