Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $82.08	Facility		$82.08	$82.08	$82.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $99.11	Professional		$82.08	$82.08	$99.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $82.07 / $97.45	Professional		$77.95	$82.07	$97.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $138.43 / $163.82	Facility		$81.91	$138.43	$163.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $91.18 / $337.90	Professional		$81.91	$91.18	$337.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $99.48 / $117.85	Facility		$91.83	$99.48	$117.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $98.73 / $122.86	Professional		$91.83	$98.73	$122.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $89.82 / $89.82	Professional		$89.82	$89.82	$89.82
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $91.37	Professional		$82.08	$82.08	$91.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $89.63 / $89.63	Facility		$89.63	$89.63	$89.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $89.63 / $89.63	Professional		$89.63	$89.63	$89.63