Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $82.58 / $213.36	Facility		$82.58	$82.58	$213.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $83.40 / $104.05	Professional		$82.58	$83.40	$104.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $82.57 / $98.25	Professional		$78.59	$82.57	$98.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $139.29 / $225.83	Facility		$77.55	$139.29	$225.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $82.42 / $90.66	Professional		$77.16	$82.42	$90.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $98.91 / $112.81	Facility		$92.59	$98.91	$112.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $95.97 / $125.04	Professional		$92.90	$95.97	$125.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $90.36 / $111.30	Professional		$90.36	$90.36	$111.30
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $83.36	Professional		$82.58	$82.58	$83.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $82.42 / $82.42	Facility		$82.42	$82.42	$82.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $82.42 / $82.42	Professional		$82.42	$82.42	$82.42