Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $67.13	Professional		$54.71	$54.71	$67.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $72.38	Professional		$57.90	$57.90	$72.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $93.76 / $152.02	Facility		$61.88	$93.76	$152.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.48 / $61.03	Professional		$54.71	$55.48	$61.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $73.48 / $97.91	Facility		$66.58	$73.48	$97.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $68.20 / $83.92	Professional		$64.42	$68.20	$83.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $59.87 / $65.89	Professional		$59.87	$59.87	$65.89
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $60.18	Professional		$54.71	$54.71	$60.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $55.48 / $55.48	Facility		$55.48	$55.48	$55.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $55.48 / $55.48	Professional		$55.48	$55.48	$55.48