Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $146.15 / $182.69	Facility		$146.15	$146.15	$182.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $106.95 / $130.13	Professional		$104.10	$106.95	$130.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $170.22 / $270.57	Facility		$100.72	$170.22	$270.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $100.72 / $515.16	Professional		$100.72	$100.72	$515.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $139.80 / $175.02	Facility		$120.86	$139.80	$175.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $120.86 / $139.80	Professional		$106.95	$120.86	$139.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $111.31 / $111.31	Professional		$111.31	$111.31	$111.31
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $111.89	Professional		$101.72	$101.72	$111.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $100.72 / $100.72	Facility		$100.72	$100.72	$100.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $100.72 / $100.72	Professional		$100.72	$100.72	$100.72