Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $134.19	Facility		$134.19	$134.19	$134.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $158.10	Professional		$130.66	$134.19	$158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $177.04 / $182.39	Professional		$145.91	$177.04	$182.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $190.55 / $358.01	Facility		$120.45	$190.55	$358.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $143.72 / $157.54	Professional		$121.74	$143.72	$157.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $171.86 / $256.04	Facility		$129.88	$171.86	$256.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $156.80 / $219.47	Professional		$129.88	$156.80	$219.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $146.86 / $146.86	Professional		$146.86	$146.86	$146.86
United Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $147.61 / $151.63	Professional		$147.61	$147.61	$151.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Facility		$130.66	$130.66	$130.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Professional		$130.66	$130.66	$130.66