Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.22 / $94.90	Professional		$78.93	$79.22	$94.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $81.23 / $101.53	Professional		$81.23	$81.23	$101.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $132.55 / $214.90	Facility		$96.00	$132.55	$214.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $86.27	Professional		$78.43	$78.43	$86.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $120.69 / $167.89	Facility		$94.12	$120.69	$167.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $95.68 / $167.89	Professional		$91.72	$95.68	$167.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $86.39 / $86.39	Professional		$86.39	$86.39	$86.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $86.82	Professional		$78.93	$78.93	$86.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Facility		$78.43	$78.43	$78.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Professional		$78.43	$78.43	$78.43