Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Facility		$69.37	$69.37	$69.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $93.76	Professional		$69.37	$69.37	$93.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $83.11 / $83.11	Facility		$83.11	$83.11	$83.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $75.30 / $94.13	Professional		$69.37	$75.30	$94.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $130.96 / $212.32	Facility		$77.48	$130.96	$212.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $86.26 / $317.82	Professional		$77.48	$86.26	$317.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $93.57 / $125.97	Facility		$60.99	$93.57	$125.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $88.69 / $107.97	Professional		$56.71	$88.69	$107.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $73.90 / $73.90	Professional		$73.90	$73.90	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $82.55	Professional		$69.37	$69.37	$82.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $77.48 / $77.48	Facility		$77.48	$77.48	$77.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $77.48 / $77.48	Professional		$77.48	$77.48	$77.48