Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Facility		$99.13	$99.13	$99.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $100.12 / $125.49	Professional		$99.13	$100.12	$125.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $100.99 / $100.99	Facility		$100.99	$100.99	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $115.01 / $143.77	Professional		$115.01	$115.01	$143.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.31 / $175.27 / $284.17	Facility		$148.31	$175.27	$284.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $115.45 / $115.45	Professional		$95.97	$115.45	$115.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $187.95 / $234.59	Facility		$124.45	$187.95	$234.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $163.98 / $647.75	Professional		$124.45	$163.98	$647.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $109.12	Professional		$109.12	$109.12	$109.12
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.35 / $125.30	Professional		$99.13	$110.35	$125.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Professional		$103.71	$103.71	$103.71