Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $98.16 / $118.77	Professional		$37.19	$98.16	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $85.94 / $106.36	Professional		$85.09	$85.94	$106.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $140.37 / $268.95	Facility		$62.59	$140.37	$268.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $108.02 / $108.02	Professional		$83.47	$108.02	$108.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $100.19 / $100.19	Facility		$48.74	$100.19	$100.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $95.18 / $125.24	Professional		$43.78	$95.18	$125.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $83.50 / $98.16	Professional		$26.00	$83.50	$98.16
United Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $107.98 / $110.92	Professional		$103.33	$107.98	$110.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16