Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $105.30 / $105.30	Facility		$105.30	$105.30	$105.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $105.30 / $105.30	Professional		$75.05	$105.30	$105.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $203.02 / $253.78	Professional		$129.72	$203.02	$253.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.72 / $126.83 / $532.10	Facility		$105.72	$126.83	$532.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $100.82 / $168.03	Professional		$57.13	$100.82	$168.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $196.04 / $220.46	Facility		$134.41	$196.04	$220.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $196.04 / $245.50	Professional		$134.41	$196.04	$245.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $269.89 / $307.74	Professional		$112.02	$269.89	$307.74
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $100.82 / $147.87	Professional		$47.05	$100.82	$147.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $112.02	Professional		$112.02	$112.02	$112.02