Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $51.10 / $63.88	Facility		$23.17	$51.10	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $38.33 / $47.91	Professional		$38.33	$38.33	$47.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $120.92 / $124.55	Facility		$37.45	$120.92	$124.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $395.88	Professional		$71.55	$71.55	$395.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $57.98 / $85.86	Facility		$38.92	$57.98	$85.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $43.30 / $85.86	Professional		$16.80	$43.30	$85.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $78.30	Professional		$78.30	$78.30	$78.30
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $78.70	Professional		$71.55	$71.55	$78.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55