Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $72.80 / $72.80	Facility		$72.80	$72.80	$72.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $72.80 / $79.45	Professional		$60.76	$72.80	$79.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $102.19 / $102.19	Professional		$81.75	$102.19	$102.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $79.45 / $136.19	Facility		$60.76	$79.45	$136.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $131.81 / $472.57	Professional		$85.89	$131.81	$472.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $126.29 / $174.04	Facility		$94.88	$126.29	$174.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $128.06 / $194.22	Professional		$107.24	$128.06	$194.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $106.59 / $142.96	Professional		$85.78	$106.59	$142.96
United Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $131.81 / $156.16	Professional		$85.89	$131.81	$156.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $107.70 / $107.70	Professional		$88.90	$107.70	$107.70