Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $198.21	Professional		$180.20	$180.20	$198.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $159.33 / $196.41	Professional		$157.13	$159.33	$196.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.29 / $257.69 / $493.75	Facility		$208.29	$257.69	$493.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $194.34 / $194.34	Professional		$103.83	$194.34	$194.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $171.61 / $213.44	Facility		$154.41	$171.61	$213.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $188.64 / $213.44	Professional		$132.86	$188.64	$213.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Professional		$185.61	$185.61	$185.61
United Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $200.17 / $205.63	Professional		$200.17	$200.17	$205.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $176.67 / $176.67	Facility		$176.67	$176.67	$176.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $176.67 / $176.67	Professional		$176.67	$176.67	$176.67