Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $169.96 / $214.14	Professional		$148.49	$169.96	$214.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $186.09 / $186.09	Professional		$148.88	$186.09	$186.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.95 / $243.04 / $465.69	Facility		$199.95	$243.04	$465.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $253.92	Professional		$183.43	$183.43	$253.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $288.92 / $343.75	Facility		$140.93	$288.92	$343.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $184.46 / $524.52	Professional		$118.60	$184.46	$524.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $169.96 / $169.96	Professional		$90.00	$169.96	$169.96
United Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $188.43	Professional		$183.43	$183.43	$188.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $166.75 / $166.75 / $166.75	Facility		$166.75	$166.75	$166.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $166.75 / $166.75	Professional		$166.75	$166.75	$166.75