Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $177.97 / $177.97	Facility		$177.97	$177.97	$177.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $177.97 / $177.97	Professional		$151.27	$177.97	$177.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $151.27 / $151.27	Professional		$134.88	$151.27	$151.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $246.64 / $300.77	Facility		$177.97	$246.64	$300.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $676.29	Professional		$161.79	$161.79	$676.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $213.46 / $213.46	Facility		$134.88	$213.46	$213.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $173.17	Professional		$134.88	$134.88	$173.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $219.96	Professional		$161.79	$161.79	$219.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Facility		$161.79	$161.79	$161.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Professional		$161.79	$161.79	$161.79