Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $117.46	Professional		$60.00	$60.00	$117.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $87.38 / $109.22	Professional		$87.38	$87.38	$109.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $138.81 / $265.97	Facility		$49.24	$138.81	$265.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $97.07 / $106.78	Professional		$72.89	$97.07	$106.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $99.61 / $116.49	Facility		$49.24	$99.61	$116.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $68.84 / $116.49	Professional		$43.24	$68.84	$116.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $65.67	Professional		$65.67	$65.67	$65.67
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $66.00	Professional		$60.00	$60.00	$66.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Facility		$97.07	$97.07	$97.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Professional		$97.07	$97.07	$97.07