Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $186.54 / $186.54	Facility		$186.54	$186.54	$186.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $186.54 / $186.54	Professional		$154.83	$186.54	$186.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $67.03 / $67.03	Professional		$53.63	$67.03	$67.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $213.40 / $460.02	Facility		$52.01	$213.40	$460.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $155.44 / $171.00	Professional		$43.34	$155.44	$171.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $61.14 / $85.61	Facility		$52.01	$61.14	$85.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $76.23 / $122.04	Professional		$50.15	$76.23	$122.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $158.19 / $160.06	Professional		$158.19	$158.19	$160.06
United Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $155.44 / $171.00	Professional		$132.13	$155.44	$171.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $155.10 / $155.10	Facility		$155.10	$155.10	$155.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $155.10 / $155.10	Professional		$155.10	$155.10	$155.10