Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $218.78	Professional		$173.78	$177.83	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $2,951.21	Professional		$173.78	$190.55	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $257.04	Professional		$199.53	$213.80	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Professional		$190.55	$190.55	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $208.93	Professional		$173.78	$194.98	$208.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55