Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $114.82	Facility		$50.12	$50.12	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $63.10	Professional		$50.12	$50.12	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $204.17	Facility		$63.10	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $69.18	Professional		$56.23	$56.23	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $114.82	Facility		$45.71	$75.86	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $229.09	Professional		$45.71	$45.71	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Professional		$54.95	$54.95	$66.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $173.78	Professional		$95.50	$125.89	$173.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29