Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Facility		$77.39	$77.39	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $78.04 / $93.50	Professional		$77.39	$78.04	$93.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $78.86	Facility		$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $78.75 / $98.44	Professional		$78.75	$78.75	$98.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $110.50 / $211.72	Facility		$65.40	$110.50	$211.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $86.54 / $86.58	Professional		$77.27	$86.54	$86.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $92.72 / $103.52	Facility		$45.97	$92.72	$103.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $88.22 / $114.95	Professional		$45.97	$88.22	$114.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $84.69 / $84.69	Professional		$75.87	$84.69	$84.69
United Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $77.39 / $86.68	Professional		$76.63	$77.39	$86.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $77.27 / $77.27	Facility		$77.27	$77.27	$77.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.27 / $77.27	Professional		$77.27	$77.27	$77.27