Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Facility		$79.86	$79.86	$79.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $79.86 / $79.86	Professional		$76.69	$79.86	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $79.86 / $80.48	Professional		$64.39	$79.86	$80.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $107.11 / $173.66	Facility		$63.38	$107.11	$173.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $70.56 / $4,956.64	Professional		$63.38	$70.56	$4,956.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $112.13 / $228.01	Facility		$75.81	$112.13	$228.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $168.46 / $228.01	Professional		$75.81	$168.46	$228.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $87.39 / $134.83	Professional		$87.39	$87.39	$134.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $79.86 / $98.68	Professional		$74.76	$79.86	$98.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $69.36 / $69.36 / $69.36	Facility		$69.36	$69.36	$69.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $69.36 / $69.36	Professional		$69.36	$69.36	$69.36