Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Facility		$95.90	$95.90	$95.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $130.72	Professional		$95.90	$95.90	$130.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $161.69 / $200.11	Professional		$160.09	$161.69	$200.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $182.57 / $1,600.63	Facility		$108.03	$182.57	$1,600.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $120.26 / $5,879.42	Professional		$108.03	$120.26	$5,879.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $200.54 / $2,100.00	Facility		$162.05	$200.54	$2,100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $257.64 / $2,203.28	Professional		$162.05	$257.64	$2,203.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $104.95 / $104.95	Professional		$104.95	$104.95	$104.95
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $117.44	Professional		$95.90	$95.90	$117.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $118.22 / $118.22	Facility		$118.22	$118.22	$118.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $118.22 / $118.22	Professional		$118.22	$118.22	$118.22