Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Facility		$162.97	$162.97	$162.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $188.95	Professional		$156.16	$162.97	$188.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $199.92 / $199.92	Professional		$159.94	$199.92	$199.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $223.31 / $427.88	Facility		$185.50	$223.31	$427.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $179.56 / $179.56	Professional		$162.97	$179.56	$179.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $187.39 / $201.07	Facility		$154.41	$187.39	$201.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.61 / $172.00 / $224.93	Professional		$146.61	$172.00	$224.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $178.35 / $178.35	Professional		$178.35	$178.35	$178.35
United Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $179.28 / $184.17	Professional		$179.28	$179.28	$184.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Professional		$156.16	$156.16	$156.16