Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Facility		$213.84	$213.84	$213.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $269.43	Professional		$213.84	$215.97	$269.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $213.86 / $267.33	Professional		$213.86	$213.86	$267.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $303.67 / $581.87	Facility		$243.00	$303.67	$581.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $212.36 / $233.60	Professional		$209.91	$212.36	$233.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $254.84 / $367.31	Facility		$251.87	$254.84	$367.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $251.89 / $538.65	Professional		$239.27	$251.89	$538.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $234.02 / $234.02	Professional		$234.02	$234.02	$234.02
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $235.22	Professional		$213.84	$213.84	$235.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $212.36 / $212.36	Facility		$212.36	$212.36	$212.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $212.36 / $212.36	Professional		$212.36	$212.36	$212.36