Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Facility		$188.76	$188.76	$188.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $228.27	Professional		$188.76	$188.76	$228.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $192.23 / $240.28	Professional		$188.76	$192.23	$240.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $318.82 / $516.90	Facility		$188.65	$318.82	$516.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $210.01 / $802.99	Professional		$188.65	$210.01	$802.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $226.24 / $236.44 / $318.27	Facility		$226.24	$236.44	$318.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.57 / $226.38 / $282.97	Professional		$208.57	$226.38	$282.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $206.57 / $206.57 / $206.57	Professional		$206.57	$206.57	$206.57
United Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $210.13	Professional		$188.76	$188.76	$210.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $206.44 / $206.44 / $206.44	Facility		$206.44	$206.44	$206.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $206.44 / $206.44	Professional		$206.44	$206.44	$206.44