Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Facility		$164.59	$164.59	$164.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $182.85 / $5,588.57	Professional		$164.59	$182.85	$5,588.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.70 / $167.70 / $167.70	Facility		$167.70	$167.70	$167.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $166.39 / $207.98	Professional		$166.39	$166.39	$207.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.07 / $240.43 / $460.68	Facility		$199.07	$240.43	$460.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $168.13 / $184.94	Professional		$163.30	$168.13	$184.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.96 / $201.76 / $290.31	Facility		$195.96	$201.76	$290.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $201.76 / $447.09	Professional		$189.12	$201.76	$447.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $180.11 / $180.11	Professional		$180.11	$180.11	$180.11
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $218.97	Professional		$164.59	$164.59	$218.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $168.13 / $168.13	Facility		$168.13	$168.13	$168.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $168.13	Professional		$168.13	$168.13	$168.13