Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $185.25 / $231.56	Facility		$185.25	$185.25	$231.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $97.68 / $120.89	Professional		$96.71	$97.68	$120.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $136.01 / $147.94	Facility		$80.48	$136.01	$147.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $558.10	Professional		$80.48	$80.48	$558.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $123.69 / $202.25	Facility		$96.58	$123.69	$202.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $113.91 / $202.25	Professional		$96.58	$113.91	$202.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $96.28 / $96.28	Professional		$96.28	$96.28	$96.28
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $96.78	Professional		$87.98	$87.98	$96.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Professional		$80.48	$80.48	$80.48