Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Facility		$99.97	$99.97	$99.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $120.78	Professional		$99.97	$99.97	$120.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $101.85 / $101.85	Facility		$101.85	$101.85	$101.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $100.91 / $126.14	Professional		$100.91	$100.91	$126.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $142.74 / $273.51	Facility		$117.42	$142.74	$273.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $99.82 / $109.80	Professional		$99.04	$99.82	$109.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $119.78 / $172.95	Facility		$118.60	$119.78	$172.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $119.78 / $254.94	Professional		$112.67	$119.78	$254.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $109.40 / $109.40	Professional		$109.40	$109.40	$109.40
United Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $99.97 / $109.97	Professional		$98.83	$99.97	$109.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Professional		$99.82	$99.82	$99.82