Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $102.94 / $122.80	Professional		$102.50	$102.94	$122.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $112.76 / $140.94	Professional		$112.76	$112.76	$140.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.54 / $171.52 / $278.08	Facility		$135.54	$171.52	$278.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $111.64	Professional		$101.49	$101.49	$111.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.78 / $135.54 / $197.66	Facility		$121.78	$135.54	$197.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $130.03 / $169.42	Professional		$121.78	$130.03	$169.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $112.65 / $112.65	Professional		$112.65	$112.65	$112.65
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $113.23	Professional		$102.94	$102.94	$113.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Facility		$101.49	$101.49	$101.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Professional		$101.49	$101.49	$101.49