Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Professional		$85.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.58 / $169.00	Facility		$100.00	$138.58	$169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $380.00	Professional		$160.91	$160.91	$380.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $108.09 / $108.09	Professional		$108.09	$108.09	$108.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $177.01	Professional		$160.91	$160.91	$177.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00