Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Facility		$68.20	$68.20	$68.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $86.70	Professional		$68.20	$68.20	$86.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $68.20 / $75.80	Professional		$60.64	$68.20	$75.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $121.09 / $307.60	Facility		$71.65	$121.09	$307.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $79.76 / $1,771.57	Professional		$70.84	$79.76	$1,771.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $115.20 / $288.00	Facility		$68.22	$115.20	$288.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $107.47 / $141.16	Professional		$68.22	$107.47	$141.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $74.63 / $388.32	Professional		$74.63	$74.63	$388.32
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $83.51	Professional		$68.20	$68.20	$83.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $78.41 / $78.41	Facility		$78.41	$78.41	$78.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $78.41 / $78.41	Professional		$78.41	$78.41	$78.41