Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $107.40 / $134.25	Facility		$107.40	$107.40	$134.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $70.48 / $87.23	Professional		$69.79	$70.48	$87.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $115.75 / $119.21	Facility		$50.73	$115.75	$119.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $302.37	Professional		$68.48	$68.48	$302.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $89.03 / $102.73	Facility		$82.18	$89.03	$102.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $82.18 / $94.19	Professional		$82.18	$82.18	$94.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $74.95 / $74.95	Professional		$74.95	$74.95	$74.95
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $75.34	Professional		$68.48	$68.48	$75.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48