Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $121.43 / $121.43	Facility		$121.43	$121.43	$121.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $121.43 / $121.43	Professional		$100.79	$121.43	$121.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.67 / $20.63	Professional		$16.50	$16.67	$20.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $156.28 / $299.45	Facility		$56.55	$156.28	$299.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $101.19 / $111.31	Professional		$13.91	$101.19	$111.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.61 / $26.40	Facility		$17.89	$19.61	$26.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $23.39 / $39.15	Professional		$17.19	$23.39	$39.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $107.60 / $107.60	Professional		$107.60	$107.60	$107.60
United Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $101.19 / $111.31	Professional		$86.01	$101.19	$111.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Facility		$101.19	$101.19	$101.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19