Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $242.00 / $242.00	Facility		$242.00	$242.00	$242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $242.00 / $242.00	Professional		$205.70	$242.00	$242.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $205.70 / $205.70	Professional		$120.81	$205.70	$205.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $335.36 / $408.98	Facility		$242.00	$335.36	$408.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $961.40	Professional		$220.00	$220.00	$961.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $120.81 / $191.20	Facility		$104.68	$120.81	$191.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $120.81 / $120.81	Professional		$104.68	$120.81	$120.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $242.00	Professional		$220.00	$220.00	$242.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Facility		$220.00	$220.00	$220.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00