Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $12,959.10	Facility		$172.22	$172.22	$12,959.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.93 / $208.05	Professional		$172.22	$173.93	$208.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $172.22 / $206.91	Professional		$165.53	$172.22	$206.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.08 / $245.87 / $471.12	Facility		$158.08	$245.87	$471.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.46 / $171.94 / $189.13	Professional		$162.46	$171.94	$189.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $197.99 / $284.25	Facility		$132.05	$197.99	$284.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $185.17 / $243.65	Professional		$95.71	$185.17	$243.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $188.47 / $188.47	Professional		$188.47	$188.47	$188.47
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $171.94 / $171.94	Facility		$171.94	$171.94	$171.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $171.94 / $171.94	Professional		$171.94	$171.94	$171.94