Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Facility		$61.80	$61.80	$61.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $62.40 / $77.86	Professional		$61.80	$62.40	$77.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $87.19 / $108.98	Professional		$87.19	$87.19	$108.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $105.03 / $279.33	Facility		$88.87	$105.03	$279.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $62.15 / $72.73	Professional		$61.80	$62.15	$72.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $253.80 / $319.91	Facility		$74.58	$253.80	$319.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $194.81 / $319.91	Professional		$74.58	$194.81	$319.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $64.12 / $64.12	Professional		$64.12	$64.12	$64.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $67.98	Professional		$61.80	$61.80	$67.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $62.15	Facility		$62.15	$62.15	$62.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $62.15 / $62.15	Professional		$62.15	$62.15	$62.15