Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $66.22 / $67.94	Professional		$66.22	$66.22	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $81.43 / $100.78	Professional		$80.63	$81.43	$100.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $97.15 / $186.16	Facility		$65.09	$97.15	$186.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $66.50 / $116.38	Professional		$23.14	$66.50	$116.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $77.59 / $89.40	Facility		$76.30	$77.59	$89.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $86.45 / $146.22	Professional		$59.28	$86.45	$146.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $69.56 / $92.08	Professional		$67.94	$69.56	$92.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $27.18 / $116.38	Professional		$23.14	$27.18	$116.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Professional		$69.56	$69.56	$69.56