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 / $93.33 / $162.18	Professional		$93.33	$93.33	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $120.23	Professional		$93.33	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $181.97	Facility		$91.20	$91.20	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $389.05	Professional		$91.20	$102.33	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $138.04	Professional		$107.15	$114.82	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
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 $93.33 / $104.71 / $112.20	Professional		$93.33	$104.71	$112.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00