Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Facility		$164.25	$164.25	$164.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.48	Professional		$164.25	$164.25	$197.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $164.25 / $193.92	Professional		$155.13	$164.25	$193.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $275.82 / $326.42	Facility		$163.21	$275.82	$326.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $181.69 / $3,623.57	Professional		$163.21	$181.69	$3,623.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $198.26 / $254.75	Facility		$153.44	$198.26	$254.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $184.28 / $244.81	Professional		$153.44	$184.28	$244.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $179.75 / $179.75	Professional		$175.28	$179.75	$179.75
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $195.46	Professional		$164.25	$164.25	$195.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $178.60 / $178.60 / $178.60	Facility		$178.60	$178.60	$178.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $178.60 / $178.60	Professional		$178.60	$178.60	$178.60