Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $89.40 / $89.40	Facility		$89.40	$89.40	$89.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $89.40 / $89.40	Professional		$74.20	$89.40	$89.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $115.06 / $220.46	Facility		$89.40	$115.06	$220.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $81.95	Professional		$74.50	$74.50	$81.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $89.48 / $89.48	Professional		$89.48	$89.48	$89.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $81.95	Professional		$74.50	$74.50	$81.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Facility		$74.50	$74.50	$74.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50