Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $121.00 / $121.00	Facility		$121.00	$121.00	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $121.00 / $121.00	Professional		$102.85	$121.00	$121.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.84 / $142.84 / $142.84	Facility		$142.84	$142.84	$142.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $163.59 / $204.49	Facility		$102.93	$163.59	$204.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $459.80	Professional		$110.00	$110.00	$459.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $132.11 / $132.11	Professional		$132.11	$132.11	$132.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $149.56	Professional		$110.00	$110.00	$149.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Professional		$110.00	$110.00	$110.00