Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $371.54	Facility		$186.21	$186.21	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $323.59	Professional		$186.21	$186.21	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $363.08	Facility		$181.97	$181.97	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $7,585.78	Professional		$181.97	$204.17	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $275.42	Professional		$213.80	$234.42	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $204.17	Professional		$190.55	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $223.87	Professional		$186.21	$208.93	$223.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53