Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.85 / $465.85 / $582.30	Facility		$465.85	$465.85	$582.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.70 / $338.70 / $423.38	Professional		$338.70	$338.70	$423.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $220.14 / $356.91	Facility		$130.26	$220.14	$356.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $130.26 / $1,606.18	Professional		$130.26	$130.26	$1,606.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.31 / $472.92 / $545.67	Facility		$156.31	$472.92	$545.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.31 / $380.98 / $437.09	Professional		$156.31	$380.98	$437.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $121.64 / $121.64	Professional		$121.64	$121.64	$121.64
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $122.27	Professional		$111.15	$111.15	$122.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $130.26 / $130.26	Facility		$130.26	$130.26	$130.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $130.26 / $130.26	Professional		$130.26	$130.26	$130.26