Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $203.27	Professional		$106.70	$106.70	$203.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $213.28 / $256.63	Facility		$205.30	$213.28	$256.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $47.77 / $106.70	Professional		$38.21	$47.77	$106.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $150.71 / $244.35	Facility		$89.18	$150.71	$244.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $89.18 / $1,448.75	Professional		$89.18	$89.18	$1,448.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $177.91 / $217.62	Facility		$45.00	$177.91	$217.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $138.50 / $304.30	Professional		$45.00	$138.50	$304.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $116.77 / $116.77	Professional		$116.77	$116.77	$116.77
United Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $106.70 / $117.37	Professional		$101.37	$106.70	$117.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $89.18 / $89.18	Facility		$89.18	$89.18	$89.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $89.18 / $89.18	Professional		$89.18	$89.18	$89.18