Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Facility		$73.94	$73.94	$73.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $89.00	Professional		$73.94	$73.94	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $73.94 / $89.63	Professional		$71.70	$73.94	$89.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $124.30 / $147.10	Facility		$73.55	$124.30	$147.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $81.88 / $310.70	Professional		$73.55	$81.88	$310.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $91.48 / $116.53	Facility		$70.59	$91.48	$116.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $87.75 / $110.32	Professional		$64.22	$87.75	$110.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
United Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $73.94 / $87.99	Professional		$73.77	$73.94	$87.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Professional		$80.48	$80.48	$80.48