Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Facility		$122.99	$122.99	$122.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $122.99 / $125.36	Professional		$122.99	$122.99	$125.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $261.02	Professional		$147.91	$147.91	$261.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $211.86 / $343.49	Facility		$166.23	$211.86	$343.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $342.87 / $923.86	Professional		$325.73	$342.87	$923.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $413.09 / $413.09	Facility		$261.02	$413.09	$413.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $261.02 / $335.12	Professional		$158.88	$261.02	$335.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $199.34 / $199.34	Professional		$199.34	$199.34	$199.34
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $377.16	Professional		$342.87	$342.87	$377.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $213.20 / $213.20	Facility		$213.20	$213.20	$213.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $213.20 / $213.20	Professional		$213.20	$213.20	$213.20