Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.15 / $848.15 / $1,060.19	Facility		$848.15	$848.15	$1,060.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $82.38 / $101.95	Professional		$81.56	$82.38	$101.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $135.27 / $219.31	Facility		$80.04	$135.27	$219.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $2,756.52	Professional		$80.04	$80.04	$2,756.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.05 / $811.64 / $936.51	Facility		$96.05	$811.64	$936.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $96.05 / $711.75	Professional		$96.05	$96.05	$711.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $87.59 / $87.59	Professional		$87.59	$87.59	$87.59
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $624.34	Professional		$80.04	$80.04	$624.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04