Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Facility		$104.73	$104.73	$104.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $126.99	Professional		$104.73	$104.73	$126.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $104.73 / $127.97	Professional		$102.38	$104.73	$127.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $150.08 / $287.56	Facility		$115.12	$150.08	$287.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $104.95 / $115.45	Professional		$100.50	$104.95	$115.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.60 / $125.94 / $176.28	Facility		$120.60	$125.94	$176.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $120.60 / $240.85	Professional		$109.74	$120.60	$240.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $114.61 / $114.61	Professional		$114.61	$114.61	$114.61
United Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $104.73 / $115.20	Professional		$100.73	$104.73	$115.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $104.95 / $104.95	Facility		$104.95	$104.95	$104.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $104.95 / $104.95	Professional		$104.95	$104.95	$104.95