Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $186.21	Facility		$93.33	$93.33	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $316.23	Professional		$93.33	$158.49	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $257.04	Facility		$97.72	$158.49	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $95.50	Professional		$79.43	$93.33	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $102.33	Professional		$79.43	$93.33	$102.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50