Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $173.03 / $218.01	Professional		$114.23	$173.03	$218.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $173.03 / $210.05	Professional		$168.04	$173.03	$210.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $291.61 / $345.10	Facility		$172.55	$291.61	$345.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $192.08 / $2,975.90	Professional		$172.55	$192.08	$2,975.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $215.43 / $263.66	Facility		$122.00	$215.43	$263.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $197.91 / $258.82	Professional		$134.30	$197.91	$258.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $189.36 / $189.36	Professional		$85.55	$189.36	$189.36
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $205.91	Professional		$173.03	$173.03	$205.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $188.83 / $188.83 / $188.83	Facility		$188.83	$188.83	$188.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $188.83 / $188.83	Professional		$188.83	$188.83	$188.83