Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $1,150.20 / $1,150.20	Facility		$108.47	$1,150.20	$1,150.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.54 / $136.66	Professional		$108.47	$109.54	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $153.26 / $191.58	Professional		$108.47	$153.26	$191.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $184.68 / $299.43	Facility		$109.28	$184.68	$299.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $121.65 / $1,698.40	Professional		$109.28	$121.65	$1,698.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $184.52 / $460.59	Facility		$176.86	$184.52	$460.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $180.49 / $589.01	Professional		$131.13	$180.49	$589.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $118.70 / $118.70	Professional		$118.70	$118.70	$118.70
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $132.83	Professional		$108.47	$108.47	$132.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $119.59 / $119.59	Facility		$119.59	$119.59	$119.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $119.59 / $119.59	Professional		$119.59	$119.59	$119.59