Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Facility		$141.60	$141.60	$141.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $170.61	Professional		$141.60	$141.60	$170.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.26 / $144.26 / $144.26	Facility		$144.26	$144.26	$144.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $141.60 / $173.91	Professional		$139.13	$141.60	$173.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $201.63 / $386.34	Facility		$139.66	$201.63	$386.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.56 / $141.00 / $155.10	Professional		$136.56	$141.00	$155.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $168.36 / $237.79	Facility		$111.01	$168.36	$237.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $154.90 / $203.82	Professional		$109.18	$154.90	$203.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $154.96 / $154.96	Professional		$145.41	$154.96	$154.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $155.76	Professional		$141.60	$141.60	$155.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Facility		$141.00	$141.00	$141.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Professional		$141.00	$141.00	$141.00