Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.92 / $219.92 / $219.92	Facility		$219.92	$219.92	$219.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $219.92 / $219.92	Professional		$182.53	$219.92	$219.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.44 / $8.44	Professional		$6.75	$8.44	$8.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $283.04 / $542.33	Facility		$13.58	$283.04	$542.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $183.26 / $201.59	Professional		$11.32	$183.26	$201.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $14.57 / $21.50	Facility		$13.58	$14.57	$21.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $19.05 / $31.87	Professional		$12.82	$19.05	$31.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $201.59	Professional		$183.26	$183.26	$201.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Facility		$183.26	$183.26	$183.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26