Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Facility		$140.99	$140.99	$140.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $169.92	Professional		$140.99	$140.99	$169.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $138.16 / $171.00	Professional		$136.80	$138.16	$171.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.78 / $200.81 / $384.78	Facility		$163.78	$200.81	$384.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $149.46 / $156.33	Professional		$140.43	$149.46	$156.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.11 / $168.51 / $238.84	Facility		$161.11	$168.51	$238.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $161.11 / $204.72	Professional		$155.59	$161.11	$204.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $154.29 / $154.29	Professional		$154.29	$154.29	$154.29
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $156.94	Professional		$140.99	$140.99	$156.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.43 / $140.43	Facility		$140.43	$140.43	$140.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $140.43 / $140.43	Professional		$140.43	$140.43	$140.43