Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $64.18 / $64.18	Facility		$64.18	$64.18	$64.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $64.18 / $64.18	Professional		$53.27	$64.18	$64.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $60.75 / $75.94	Professional		$60.75	$60.75	$75.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $73.42 / $158.26	Facility		$64.18	$73.42	$158.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $62.06	Professional		$56.42	$56.42	$62.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $68.77 / $77.20	Facility		$56.74	$68.77	$77.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.98 / $77.20	Professional		$33.11	$64.98	$77.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
United Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $56.42 / $62.06	Professional		$47.96	$56.42	$62.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42