Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $135.43	Professional		$123.80	$123.80	$135.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.05 / $176.05 / $220.06	Facility		$176.05	$176.05	$220.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $132.15 / $163.55	Professional		$130.84	$132.15	$163.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $213.04 / $354.78	Facility		$126.06	$213.04	$354.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $126.06 / $3,125.88	Professional		$126.06	$126.06	$3,125.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $165.76 / $191.26	Facility		$151.28	$165.76	$191.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $151.28 / $281.39	Professional		$151.28	$151.28	$281.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $135.47 / $135.47	Professional		$135.47	$135.47	$135.47
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $136.18	Professional		$123.80	$123.80	$136.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Facility		$126.06	$126.06	$126.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Professional		$126.06	$126.06	$126.06