Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Facility		$149.83	$149.83	$149.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $149.83 / $178.74	Professional		$141.38	$149.83	$178.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $140.13 / $173.44	Professional		$138.75	$140.13	$173.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.27 / $214.26 / $410.53	Facility		$176.27	$214.26	$410.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $161.72 / $161.72	Professional		$62.43	$161.72	$161.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $111.02 / $134.85	Facility		$102.08	$111.02	$134.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $122.62 / $157.57	Professional		$85.33	$122.62	$157.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Professional		$149.83	$149.83	$149.83
United Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $161.72 / $166.13	Professional		$142.90	$161.72	$166.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Facility		$147.02	$147.02	$147.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Professional		$147.02	$147.02	$147.02