Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Facility		$66.00	$66.00	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $78.95	Professional		$66.00	$66.65	$78.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.53 / $83.16	Professional		$66.00	$66.53	$83.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $110.29 / $130.52	Facility		$65.26	$110.29	$130.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $72.65 / $283.51	Professional		$65.26	$72.65	$283.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $85.38 / $108.54	Facility		$60.44	$85.38	$108.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $85.38 / $98.89	Professional		$60.44	$85.38	$98.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $72.22 / $72.22	Professional		$72.22	$72.22	$72.22
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $73.47	Professional		$66.00	$66.00	$73.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $71.41 / $71.41	Facility		$71.41	$71.41	$71.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $71.41 / $71.41	Professional		$71.41	$71.41	$71.41