Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $147.91	Facility		$72.44	$72.44	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $147.91	Professional		$72.44	$74.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.33	Professional		$75.86	$75.86	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $144.54	Facility		$72.44	$81.28	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $2,041.74	Professional		$72.44	$81.28	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $109.65	Professional		$87.10	$95.50	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $87.10	Professional		$74.13	$81.28	$87.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43