Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Facility		$100.00	$100.00	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $123.03	Professional		$70.79	$81.28	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $257.04	Professional		$151.36	$204.17	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $194.98	Facility		$100.00	$102.33	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $537.03	Professional		$54.95	$64.57	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $295.12	Professional		$151.36	$251.19	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $123.03	Professional		$44.67	$64.57	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15