Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $69.09 / $69.09	Facility		$69.09	$69.09	$69.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $65.98 / $69.09	Professional		$55.32	$65.98	$69.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $101.72 / $101.72	Professional		$81.38	$101.72	$101.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $69.09 / $142.12	Facility		$56.51	$69.09	$142.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $129.33 / $472.20	Professional		$84.00	$129.33	$472.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.42 / $122.85 / $172.41	Facility		$95.42	$122.85	$172.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $124.47 / $189.49	Professional		$107.72	$124.47	$189.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $107.07 / $143.61	Professional		$86.17	$107.07	$143.61
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $129.33 / $152.72	Professional		$84.00	$129.33	$152.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $108.20 / $108.20	Professional		$89.30	$108.20	$108.20