Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Facility		$190.00	$190.00	$190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $190.00 / $190.00	Professional		$161.50	$190.00	$190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $158.30 / $197.88	Facility		$158.30	$158.30	$197.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $118.73 / $148.41	Professional		$118.73	$118.73	$148.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $263.30 / $321.10	Facility		$65.92	$263.30	$321.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $722.00	Professional		$167.51	$167.51	$722.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $204.27 / $204.27	Facility		$82.86	$204.27	$204.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $82.86 / $174.99	Professional		$82.86	$82.86	$174.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $156.06 / $156.06	Professional		$156.06	$156.06	$156.06
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $184.26	Professional		$167.51	$167.51	$184.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $162.60 / $162.60	Facility		$162.60	$162.60	$162.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.60 / $162.60 / $162.60	Professional		$162.60	$162.60	$162.60