Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.38 / $72.38 / $72.38	Facility		$72.38	$72.38	$72.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $61.52 / $72.38	Professional		$57.90	$61.52	$72.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $104.25 / $130.31	Professional		$82.97	$104.25	$130.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $101.24 / $178.48	Facility		$62.75	$101.24	$178.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $477.55	Professional		$60.32	$60.32	$477.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $97.28 / $141.72	Facility		$71.19	$97.28	$141.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $93.08 / $141.72	Professional		$78.25	$93.08	$141.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $60.31	Professional		$60.31	$60.31	$60.31
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $69.37	Professional		$60.32	$60.32	$69.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $59.12 / $59.12	Facility		$59.12	$59.12	$59.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $59.12 / $59.12	Professional		$59.12	$59.12	$59.12