Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $202.82 / $202.82	Facility		$202.82	$202.82	$202.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $202.82	Professional		$172.40	$172.40	$202.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $168.85 / $208.97	Professional		$167.18	$168.85	$208.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $261.02 / $308.49	Facility		$164.38	$261.02	$308.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $202.82 / $223.10	Professional		$172.40	$202.82	$223.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.07 / $253.07 / $295.24	Facility		$253.07	$253.07	$295.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $183.99 / $183.99	Professional		$183.99	$183.99	$183.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $172.47 / $172.47	Professional		$172.47	$172.47	$172.47
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $223.10	Professional		$202.82	$202.82	$223.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $169.08 / $169.08 / $169.08	Facility		$169.08	$169.08	$169.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $169.08 / $169.08	Professional		$169.08	$169.08	$169.08