Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Facility		$127.45	$127.45	$127.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $152.75	Professional		$127.45	$127.45	$152.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $129.86 / $129.86	Facility		$129.86	$129.86	$129.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $133.94 / $167.44	Professional		$133.94	$133.94	$167.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.81 / $213.35 / $345.90	Facility		$159.81	$213.35	$345.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $138.86	Professional		$126.24	$126.24	$138.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $159.81 / $233.07	Facility		$151.49	$159.81	$233.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.49 / $163.04 / $346.37	Professional		$151.49	$163.04	$346.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $139.47 / $139.47	Professional		$139.47	$139.47	$139.47
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $140.19	Professional		$127.45	$127.45	$140.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Facility		$126.24	$126.24	$126.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Professional		$126.24	$126.24	$126.24