Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Facility		$84.57	$84.57	$84.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $102.28	Professional		$84.57	$84.57	$102.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $119.85 / $149.81	Professional		$108.63	$119.85	$149.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $142.86 / $231.61	Facility		$84.53	$142.86	$231.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $94.10 / $518.54	Professional		$84.53	$94.10	$518.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.79 / $164.99 / $205.54	Facility		$126.79	$164.99	$205.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $139.72 / $164.99	Professional		$126.79	$139.72	$164.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $92.54 / $92.54	Professional		$92.54	$92.54	$92.54
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $100.64	Professional		$84.57	$84.57	$100.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $92.50 / $92.50	Facility		$92.50	$92.50	$92.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $92.50 / $92.50	Professional		$92.50	$92.50	$92.50