Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $102.04 / $151.54	Professional		$101.03	$102.04	$151.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.44 / $143.10 / $178.88	Facility		$103.44	$143.10	$178.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $124.49 / $134.30	Professional		$107.44	$124.49	$134.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $166.53 / $205.08	Facility		$98.54	$166.53	$205.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $98.54 / $466.64	Professional		$98.54	$98.54	$466.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $137.40 / $158.54	Facility		$118.25	$137.40	$158.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $126.56 / $155.36	Professional		$118.25	$126.56	$155.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $110.56 / $110.56	Professional		$110.56	$110.56	$110.56
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $111.13	Professional		$101.03	$101.03	$111.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $98.54 / $98.54	Facility		$98.54	$98.54	$98.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $98.54 / $98.54	Professional		$98.54	$98.54	$98.54