Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $153.75	Facility		$153.75	$153.75	$153.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.75 / $153.75	Professional		$130.69	$153.75	$153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $130.69 / $130.69	Professional		$88.31	$130.69	$130.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $213.08 / $259.83	Facility		$153.75	$213.08	$259.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $128.13 / $270.75	Professional		$108.91	$128.13	$270.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $88.31 / $139.75	Facility		$72.31	$88.31	$139.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $72.31 / $88.31	Professional		$7.13	$72.31	$88.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $140.94	Professional		$128.13	$128.13	$140.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Facility		$5.94	$5.94	$5.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Professional		$5.94	$5.94	$5.94