Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.95 / $91.95 / $114.94	Facility		$91.95	$91.95	$114.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $89.75 / $91.45	Professional		$73.16	$89.75	$91.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $139.27 / $225.80	Facility		$82.41	$139.27	$225.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $1,668.00	Professional		$82.41	$82.41	$1,668.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $98.90 / $110.13	Facility		$86.18	$98.90	$110.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $98.90 / $101.28	Professional		$73.53	$98.90	$101.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $98.22 / $98.22	Professional		$98.22	$98.22	$98.22
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $98.73	Professional		$89.75	$89.75	$98.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $82.41 / $82.41	Facility		$82.41	$82.41	$82.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $82.41	Professional		$82.41	$82.41	$82.41