Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $127.10 / $158.88	Facility		$127.10	$127.10	$158.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $97.00 / $120.05	Professional		$96.04	$97.00	$120.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $169.68 / $304.86	Facility		$100.40	$169.68	$304.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $100.40 / $1,073.11	Professional		$98.11	$100.40	$1,073.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $140.35 / $243.27	Facility		$113.11	$140.35	$243.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $120.48 / $282.63	Professional		$113.11	$120.48	$282.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $107.36 / $107.36	Professional		$107.36	$107.36	$107.36
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.92	Professional		$98.11	$98.11	$107.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Professional		$100.40	$100.40	$100.40