Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Facility		$94.45	$94.45	$94.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $95.39 / $656.20	Professional		$94.45	$95.39	$656.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $94.45 / $116.48	Professional		$93.19	$94.45	$116.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $159.11 / $257.97	Facility		$97.21	$159.11	$257.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $94.15 / $103.57	Professional		$91.46	$94.15	$103.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $112.98 / $160.09	Facility		$100.17	$112.98	$160.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $105.32 / $137.22	Professional		$76.48	$105.32	$137.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $103.36 / $103.36	Professional		$50.11	$103.36	$103.36
United Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $103.90	Professional		$94.45	$94.45	$103.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $94.15 / $94.15	Facility		$94.15	$94.15	$94.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $94.15 / $94.15	Professional		$94.15	$94.15	$94.15