Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $56.15 / $70.19	Facility		$56.15	$56.15	$70.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $48.23 / $49.01	Professional		$38.59	$48.23	$49.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $109.43 / $112.71	Facility		$64.75	$109.43	$112.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $252.11	Professional		$64.75	$64.75	$252.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $54.25 / $77.70	Facility		$45.44	$54.25	$77.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $77.70 / $116.76	Professional		$45.44	$77.70	$116.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Professional		$117.06	$117.06	$117.06
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $117.67	Professional		$106.97	$106.97	$117.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Professional		$64.75	$64.75	$64.75