Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $127.55 / $160.19	Professional		$127.54	$127.55	$160.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $115.52 / $142.97	Professional		$114.38	$115.52	$142.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.32 / $182.40 / $349.49	Facility		$143.32	$182.40	$349.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $132.07 / $132.07	Professional		$62.43	$132.07	$132.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $107.23 / $117.92	Facility		$102.08	$107.23	$117.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $111.53 / $145.29	Professional		$84.24	$111.53	$145.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Professional		$121.82	$121.82	$121.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.86 / $132.07 / $135.66	Professional		$123.86	$132.07	$135.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Professional		$120.06	$120.06	$120.06