Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Facility		$74.36	$74.36	$74.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.09 / $90.08	Professional		$74.36	$75.09	$90.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.78 / $93.47	Professional		$74.36	$74.78	$93.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $125.82 / $148.90	Facility		$74.45	$125.82	$148.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $82.88 / $1,209.31	Professional		$74.45	$82.88	$1,209.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $94.79 / $122.92	Facility		$84.84	$94.79	$122.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $93.23 / $111.68	Professional		$73.28	$93.23	$111.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $81.37 / $82.85	Professional		$81.37	$81.37	$82.85
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $88.49	Professional		$74.36	$74.36	$88.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $81.48	Facility		$81.48	$81.48	$81.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $81.48 / $81.48	Professional		$81.48	$81.48	$81.48