Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $134.83 / $134.83	Facility		$134.83	$134.83	$134.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $134.83 / $169.88	Professional		$121.15	$134.83	$169.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $127.64 / $157.97	Professional		$126.38	$127.64	$157.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $192.81 / $369.43	Facility		$158.62	$192.81	$369.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $145.66 / $145.66	Professional		$76.01	$145.66	$145.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $136.09 / $150.46	Facility		$133.19	$136.09	$150.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $136.81 / $178.36	Professional		$104.04	$136.81	$178.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $134.83 / $134.83	Professional		$99.00	$134.83	$134.83
United Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $145.66 / $149.65	Professional		$145.66	$145.66	$149.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $132.43 / $132.43	Facility		$132.43	$132.43	$132.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $132.43 / $132.43	Professional		$132.43	$132.43	$132.43