Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.15 / $342.15 / $427.69	Facility		$342.15	$342.15	$427.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $212.48 / $262.97	Professional		$210.38	$212.48	$262.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $219.89 / $356.50	Facility		$130.11	$219.89	$356.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $130.11 / $1,668.00	Professional		$130.11	$130.11	$1,668.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $317.98 / $397.72	Facility		$95.74	$317.98	$397.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $156.13 / $457.16	Professional		$95.74	$156.13	$457.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $119.76 / $119.76	Professional		$119.76	$119.76	$119.76
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $120.38	Professional		$109.44	$109.44	$120.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Professional		$130.11	$130.11	$130.11