Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $79.87 / $79.87	Facility		$79.87	$79.87	$79.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $79.87 / $79.87	Professional		$66.29	$79.87	$79.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $25.78 / $25.78	Professional		$20.63	$25.78	$25.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $91.38 / $196.95	Facility		$36.69	$91.38	$196.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $66.56 / $75.69	Professional		$42.94	$66.56	$75.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $97.42 / $143.68	Facility		$90.83	$97.42	$143.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $97.42 / $195.76	Professional		$28.38	$97.42	$195.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $67.90 / $67.90	Professional		$67.90	$67.90	$67.90
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Facility		$66.56	$66.56	$66.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56