Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $171.50	Facility		$137.19	$137.19	$171.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $94.73 / $117.23	Professional		$93.79	$94.73	$117.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $157.36 / $225.00	Facility		$93.11	$157.36	$225.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.11 / $436.14	Professional		$92.03	$93.11	$436.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $113.33 / $130.76	Facility		$110.44	$113.33	$130.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $111.73 / $270.23	Professional		$110.44	$111.73	$270.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $97.85 / $97.85	Professional		$97.85	$97.85	$97.85
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $100.26	Professional		$89.41	$89.41	$100.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Facility		$93.11	$93.11	$93.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Professional		$93.11	$93.11	$93.11