Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $104.67 / $104.67	Facility		$104.67	$104.67	$104.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $104.67 / $131.88	Professional		$96.40	$104.67	$131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.96 / $120.00	Professional		$96.00	$96.96	$120.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.43 / $143.96 / $275.83	Facility		$118.43	$143.96	$275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $108.70 / $108.70	Professional		$62.43	$108.70	$108.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $111.02 / $134.85	Facility		$102.08	$111.02	$134.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $111.92 / $145.29	Professional		$85.33	$111.92	$145.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $104.67 / $104.67	Professional		$70.00	$104.67	$104.67
United Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $113.01 / $116.10	Professional		$113.01	$113.01	$116.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $98.82 / $98.82	Facility		$98.82	$98.82	$98.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $98.82 / $98.82	Professional		$98.82	$98.82	$98.82