Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $205.30 / $256.63	Facility		$205.30	$205.30	$256.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $137.52 / $170.20	Professional		$136.16	$137.52	$170.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $241.43 / $472.99	Facility		$142.86	$241.43	$472.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $142.86 / $2,287.69	Professional		$133.66	$142.86	$2,287.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $187.66 / $216.54	Facility		$160.38	$187.66	$216.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $171.43 / $204.16	Professional		$133.44	$171.43	$204.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $144.34 / $144.34	Professional		$144.34	$144.34	$144.34
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $145.09	Professional		$131.90	$131.90	$145.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Facility		$142.86	$142.86	$142.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Professional		$142.86	$142.86	$142.86