Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.68 / $140.68 / $140.68	Facility		$140.68	$140.68	$140.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $140.68 / $140.68	Professional		$115.39	$140.68	$140.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $116.40 / $116.40	Facility		$116.40	$116.40	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $117.56 / $145.50	Professional		$116.40	$117.56	$145.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $178.92 / $342.83	Facility		$139.02	$178.92	$342.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $117.24 / $128.96	Professional		$99.65	$117.24	$128.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $124.51 / $124.51	Professional		$124.51	$124.51	$124.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $117.24 / $128.96	Professional		$99.65	$117.24	$128.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Facility		$117.24	$117.24	$117.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24