Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $79.70 / $99.43	Professional		$62.21	$79.70	$99.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $53.90 / $66.70	Professional		$53.36	$53.90	$66.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $86.88 / $140.86	Facility		$73.52	$86.88	$140.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $57.23 / $78.92	Professional		$51.41	$57.23	$78.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $83.87 / $97.84	Facility		$61.69	$83.87	$97.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $64.37 / $106.58	Professional		$61.69	$64.37	$106.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $86.36 / $86.36	Professional		$86.36	$86.36	$86.36
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $87.85	Professional		$78.92	$78.92	$87.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Facility		$51.41	$51.41	$51.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Professional		$51.41	$51.41	$51.41