Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $110.13	Professional		$91.34	$92.25	$110.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $91.34 / $113.86	Professional		$91.09	$91.34	$113.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $153.82 / $182.04	Facility		$91.02	$153.82	$182.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $101.32 / $389.52	Professional		$91.02	$101.32	$389.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.87 / $116.77 / $148.77	Facility		$105.87	$116.77	$148.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $132.33 / $136.53	Professional		$107.27	$132.33	$136.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $99.96 / $99.96	Professional		$99.96	$99.96	$99.96
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $102.01	Professional		$91.34	$91.34	$102.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $99.61 / $99.61	Facility		$99.61	$99.61	$99.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $99.61 / $99.61	Professional		$99.61	$99.61	$99.61