Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Facility		$162.18	$162.18	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $281.84	Professional		$162.18	$162.18	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $169.82 / $208.93	Professional		$165.96	$169.82	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $426.58	Facility		$186.21	$223.87	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $177.83	Professional		$138.04	$177.83	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $199.53	Professional		$151.36	$181.97	$199.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18