Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Facility		$79.26	$79.26	$79.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $96.06	Professional		$79.26	$79.26	$96.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Facility		$80.73	$80.73	$80.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $79.26 / $98.02	Professional		$78.41	$79.26	$98.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $113.53 / $217.53	Facility		$91.47	$113.53	$217.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $79.39 / $87.33	Professional		$76.95	$79.39	$87.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $95.26 / $134.97	Facility		$92.34	$95.26	$134.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $92.34 / $167.17	Professional		$83.60	$92.34	$167.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $86.73 / $86.73	Professional		$86.73	$86.73	$86.73
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $87.19	Professional		$79.26	$79.26	$87.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $79.39 / $79.39	Facility		$79.39	$79.39	$79.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $79.39 / $79.39	Professional		$79.39	$79.39	$79.39