Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Facility		$192.00	$192.00	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $192.00 / $192.00	Professional		$159.36	$192.00	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Facility		$160.00	$160.00	$160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $161.61 / $200.02	Professional		$160.01	$161.61	$200.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $247.10 / $473.47	Facility		$192.00	$247.10	$473.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $176.00	Professional		$160.00	$160.00	$176.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $192.16 / $192.16 / $192.16	Professional		$192.16	$192.16	$192.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $176.00	Professional		$160.00	$160.00	$176.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Facility		$160.00	$160.00	$160.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00