Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Facility		$183.48	$183.48	$183.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $185.31 / $231.18	Professional		$163.86	$185.31	$231.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.60 / $229.50	Professional		$183.48	$183.60	$229.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $309.95 / $366.82	Facility		$183.41	$309.95	$366.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $204.17 / $7,591.34	Professional		$183.41	$204.17	$7,591.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.06 / $234.07 / $301.74	Facility		$216.06	$234.07	$301.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $221.63 / $275.12	Professional		$181.12	$221.63	$275.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.71 / $200.78 / $200.78	Professional		$184.71	$200.78	$200.78
United Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $183.48 / $237.67	Professional		$180.05	$183.48	$237.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $200.72 / $200.72 / $200.72	Facility		$200.72	$200.72	$200.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $200.72 / $200.72	Professional		$200.72	$200.72	$200.72