Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Facility		$100.09	$100.09	$100.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $121.36	Professional		$100.09	$101.09	$121.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $119.91 / $119.91	Facility		$119.91	$119.91	$119.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $100.09 / $123.70	Professional		$98.96	$100.09	$123.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $169.51 / $200.60	Facility		$100.30	$169.51	$200.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $111.65 / $428.03	Professional		$100.30	$111.65	$428.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.34 / $126.03 / $161.65	Facility		$116.34	$126.03	$161.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $145.41 / $150.44	Professional		$116.56	$145.41	$150.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $109.53 / $109.53	Professional		$109.53	$109.53	$109.53
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $119.11	Professional		$100.09	$106.10	$119.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Professional		$109.76	$109.76	$109.76