Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $2,458.73 / $2,525.89	Facility		$67.27	$2,458.73	$2,525.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $5.00	Facility		$4.00	$4.00	$5.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $65.48 / $81.05	Professional		$64.84	$65.48	$81.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $112.08 / $181.72	Facility		$66.31	$112.08	$181.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $66.31 / $779.00	Professional		$66.31	$66.31	$779.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $113.18 / $196.18	Facility		$76.34	$113.18	$196.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $79.58 / $120.10	Professional		$76.34	$79.58	$120.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $73.63 / $73.63	Professional		$73.63	$73.63	$73.63
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $74.00	Professional		$67.27	$67.27	$74.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Facility		$66.31	$66.31	$66.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Professional		$66.31	$66.31	$66.31