Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Facility		$63.06	$63.06	$63.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $63.06 / $233.21	Professional		$38.83	$63.06	$233.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $82.46 / $103.08	Professional		$82.46	$82.46	$103.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $87.93 / $287.97	Facility		$45.89	$87.93	$287.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $35.72 / $90.13	Professional		$32.09	$35.72	$90.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $121.32 / $239.58	Facility		$38.50	$121.32	$239.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $150.43 / $253.79	Professional		$92.20	$150.43	$253.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.01 / $69.01 / $69.01	Professional		$69.01	$69.01	$69.01
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $70.20	Professional		$63.06	$63.06	$70.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Facility		$32.09	$32.09	$32.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Professional		$32.09	$32.09	$32.09