Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $195.83 / $195.83	Facility		$195.83	$195.83	$195.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $195.83 / $226.06	Professional		$172.02	$195.83	$226.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $176.12 / $217.97	Professional		$174.38	$176.12	$217.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.97 / $266.74 / $511.09	Facility		$193.97	$266.74	$511.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $201.30 / $201.30	Professional		$60.81	$201.30	$201.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $145.10 / $190.00	Facility		$108.97	$145.10	$190.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $141.08 / $190.00	Professional		$83.46	$141.08	$190.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $195.83 / $195.83	Professional		$67.17	$195.83	$195.83
United Facility/Professional Professional Modifier Low / Median / High Price $211.33 / $211.33 / $217.10	Professional		$211.33	$211.33	$217.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Facility		$183.00	$183.00	$183.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Professional		$183.00	$183.00	$183.00