Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Facility		$81.90	$81.90	$81.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $100.26	Professional		$81.90	$81.90	$100.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $81.90 / $100.41	Professional		$80.33	$81.90	$100.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $140.03 / $165.72	Facility		$82.86	$140.03	$165.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $92.24 / $350.34	Professional		$82.86	$92.24	$350.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.63 / $103.15 / $133.88	Facility		$94.63	$103.15	$133.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $116.31 / $124.29	Professional		$94.63	$116.31	$124.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $89.62 / $89.62	Professional		$89.62	$89.62	$89.62
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $97.46	Professional		$81.90	$81.90	$97.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $90.68 / $90.68	Facility		$90.68	$90.68	$90.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $90.68 / $90.68	Professional		$90.68	$90.68	$90.68