Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $141.80	Professional		$117.36	$117.36	$141.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $119.59 / $119.59	Facility		$119.59	$119.59	$119.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $118.69 / $148.36	Professional		$118.69	$118.69	$148.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.29 / $167.58 / $321.10	Facility		$135.29	$167.58	$321.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $117.19 / $128.91	Professional		$116.47	$117.19	$128.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.56 / $140.63 / $202.07	Facility		$138.56	$140.63	$202.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $139.77 / $278.95	Professional		$131.63	$139.77	$278.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Professional		$128.44	$128.44	$128.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $129.10	Professional		$117.36	$117.36	$129.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $117.19 / $117.19	Facility		$117.19	$117.19	$117.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.19 / $117.19	Professional		$117.19	$117.19	$117.19