Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $119.61 / $119.61	Facility		$119.61	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $108.80 / $119.61	Professional		$94.99	$108.80	$119.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $107.57 / $133.13	Professional		$106.50	$107.57	$133.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $155.58 / $298.11	Facility		$92.82	$155.58	$298.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $129.01 / $129.01	Professional		$31.70	$129.01	$129.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $54.54 / $59.97	Facility		$52.29	$54.54	$59.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $56.79 / $74.81	Professional		$35.92	$56.79	$74.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $68.00	Professional		$29.91	$29.91	$68.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $129.01 / $132.53	Professional		$129.01	$129.01	$132.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $29.32 / $29.32	Facility		$29.32	$29.32	$29.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $29.32 / $29.32	Professional		$29.32	$29.32	$29.32