Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $120.94 / $120.94	Facility		$120.94	$120.94	$120.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $120.94 / $120.94	Professional		$102.80	$120.94	$120.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $163.51 / $204.39	Facility		$108.85	$163.51	$204.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $459.57	Professional		$100.78	$100.78	$459.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Professional		$130.72	$130.72	$130.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $110.86	Professional		$100.78	$100.78	$110.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $108.85 / $108.85	Facility		$108.85	$108.85	$108.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $108.85	Professional		$108.85	$108.85	$108.85