Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Professional		$70.70	$70.70	$71.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.65 / $129.65 / $162.06	Facility		$129.65	$129.65	$162.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $75.67 / $93.66	Professional		$74.93	$75.67	$93.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $120.06 / $194.65	Facility		$71.04	$120.06	$194.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $453.26	Professional		$71.04	$71.04	$453.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.24 / $94.44 / $169.13	Facility		$85.24	$94.44	$169.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $88.24 / $214.18	Professional		$85.24	$88.24	$214.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $77.36	Professional		$77.36	$77.36	$77.36
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $77.77	Professional		$70.70	$70.70	$77.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $71.04 / $71.04	Facility		$71.04	$71.04	$71.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $71.04	Professional		$71.04	$71.04	$71.04