Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Facility		$156.97	$156.97	$156.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $156.97 / $178.20	Professional		$140.00	$156.97	$178.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $166.41 / $166.41	Professional		$133.13	$166.41	$166.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.43 / $213.79 / $409.63	Facility		$126.43	$213.79	$409.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $169.29 / $169.29	Professional		$45.29	$169.29	$169.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.01 / $96.07 / $167.37	Facility		$75.01	$96.07	$167.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $101.26 / $167.37	Professional		$75.01	$101.26	$167.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $113.68 / $113.68	Professional		$36.79	$113.68	$113.68
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $169.29 / $173.91	Professional		$149.63	$169.29	$173.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.32 / $101.32 / $101.32	Facility		$101.32	$101.32	$101.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $101.32 / $101.32	Professional		$101.32	$101.32	$101.32