Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $180.00 / $180.00	Professional		$153.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $249.44 / $304.20	Facility		$180.00	$249.44	$304.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $684.00	Professional		$180.00	$180.00	$684.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $216.18 / $216.18	Professional		$216.18	$216.18	$216.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $198.00	Professional		$180.00	$180.00	$198.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00