Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $130.80 / $163.50	Facility		$130.80	$130.80	$163.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $88.85 / $109.97	Professional		$87.98	$88.85	$109.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $133.90 / $217.09	Facility		$79.23	$133.90	$217.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $79.23 / $1,274.90	Professional		$79.23	$79.23	$1,274.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $110.54 / $143.32	Facility		$95.07	$110.54	$143.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $103.62 / $204.48	Professional		$95.07	$103.62	$204.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $83.26 / $83.26	Professional		$83.26	$83.26	$83.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $97.78	Professional		$76.09	$76.09	$97.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Facility		$79.23	$79.23	$79.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Professional		$79.23	$79.23	$79.23