Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Facility		$79.45	$79.45	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $81.53	Professional		$79.45	$79.45	$81.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $97.72 / $120.94	Professional		$96.75	$97.72	$120.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $116.59 / $223.39	Facility		$78.12	$116.59	$223.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $79.81 / $139.66	Professional		$27.76	$79.81	$139.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $93.11 / $107.27	Facility		$91.56	$93.11	$107.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $104.18 / $175.48	Professional		$71.16	$104.18	$175.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $83.49 / $110.51	Professional		$81.53	$83.49	$110.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $73.16 / $139.66	Professional		$27.76	$73.16	$139.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Professional		$83.49	$83.49	$83.49