Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Facility		$177.56	$177.56	$177.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $195.31 / $233.18	Professional		$168.30	$195.31	$233.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $226.13	Professional		$180.90	$180.90	$226.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $300.08 / $486.51	Facility		$186.90	$300.08	$486.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $171.33 / $177.56	Professional		$132.38	$171.33	$177.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $213.07 / $215.87	Facility		$213.07	$213.07	$215.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $213.07 / $342.17	Professional		$157.32	$213.07	$342.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $158.87 / $158.87	Professional		$158.87	$158.87	$158.87
United Facility/Professional Professional Modifier Low / Median / High Price $171.33 / $171.33 / $186.90	Professional		$171.33	$171.33	$186.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Facility		$177.56	$177.56	$177.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56