Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Facility		$188.00	$188.00	$188.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $156.00 / $188.00	Professional		$134.00	$156.00	$188.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.86 / $393.86 / $393.86	Facility		$393.86	$393.86	$393.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.04 / $362.96 / $453.70	Professional		$287.04	$362.96	$453.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $226.46 / $720.68	Facility		$188.76	$226.46	$720.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $366.72	Professional		$102.00	$120.00	$366.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $366.72 / $444.46	Facility		$258.08	$366.72	$444.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $366.72 / $438.32	Professional		$240.00	$366.72	$438.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $481.86 / $549.44	Professional		$286.00	$481.86	$549.44
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $102.00 / $200.00	Professional		$84.00	$102.00	$200.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00