Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Facility		$141.00	$141.00	$141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $117.00 / $141.00	Professional		$100.50	$117.00	$141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.98 / $298.98 / $298.98	Facility		$298.98	$298.98	$298.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.79 / $272.87 / $341.09	Professional		$215.79	$272.87	$341.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $169.85 / $275.37	Facility		$141.57	$169.85	$275.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $90.00 / $275.04	Professional		$76.50	$90.00	$275.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $275.04 / $333.35	Facility		$193.56	$275.04	$333.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $275.04 / $328.73	Professional		$180.00	$275.04	$328.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $361.40 / $412.08	Professional		$214.50	$361.40	$412.08
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $76.50 / $150.00	Professional		$63.00	$76.50	$150.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00