Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Facility		$165.83	$165.83	$165.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $165.83 / $195.97	Professional		$163.57	$165.83	$195.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $166.46 / $208.08	Professional		$166.46	$166.46	$208.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $231.60 / $443.77	Facility		$138.63	$231.60	$443.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $178.16	Professional		$161.96	$161.96	$178.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.39 / $194.35 / $272.95	Facility		$182.39	$194.35	$272.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $182.39 / $291.02	Professional		$114.75	$182.39	$291.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $181.47 / $181.47	Professional		$167.51	$181.47	$181.47
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $161.96 / $161.96	Facility		$161.96	$161.96	$161.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $161.96	Professional		$161.96	$161.96	$161.96