Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.13 / $101.13 / $101.13	Facility		$101.13	$101.13	$101.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $101.13 / $101.13	Professional		$85.96	$101.13	$101.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $153.13 / $163.63	Facility		$122.50	$153.13	$163.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $105.78 / $114.84	Professional		$91.88	$105.78	$114.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $153.82 / $170.91	Facility		$92.59	$153.82	$170.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $844.00	Professional		$136.47	$136.47	$844.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $124.01 / $167.39	Facility		$105.78	$124.01	$167.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $116.64 / $136.19	Professional		$105.78	$116.64	$136.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $85.95 / $85.95	Professional		$85.95	$85.95	$85.95
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $150.12	Professional		$136.47	$136.47	$150.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $91.01 / $91.01	Facility		$91.01	$91.01	$91.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $91.01 / $91.01	Professional		$91.01	$91.01	$91.01