Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $125.89	Facility		$100.00	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $177.83	Professional		$107.15	$125.89	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $316.23	Professional		$204.17	$251.19	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $309.03	Facility		$117.49	$177.83	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $281.84	Professional		$102.33	$158.49	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $234.42	Professional		$213.80	$223.87	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $204.17	Professional		$128.82	$173.78	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $245.47	Professional		$114.82	$177.83	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Professional		$181.97	$213.80	$213.80