Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $90.81	Professional		$64.62	$64.62	$90.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $84.00	Professional		$67.20	$67.20	$84.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $107.32 / $205.64	Facility		$74.56	$107.32	$205.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.05 / $82.56	Professional		$64.62	$75.05	$82.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $79.15 / $104.55	Facility		$74.56	$79.15	$104.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $79.15 / $104.55	Professional		$54.48	$79.15	$104.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $71.08	Professional		$64.62	$64.62	$71.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Professional		$75.05	$75.05	$75.05