Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Facility		$136.66	$136.66	$136.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $164.84	Professional		$136.66	$136.66	$164.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $136.66 / $169.03	Professional		$135.22	$136.66	$169.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $230.23 / $272.45	Facility		$136.22	$230.23	$272.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $151.65 / $586.87	Professional		$136.22	$151.65	$586.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $172.79 / $217.51	Facility		$159.27	$172.79	$217.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $194.38 / $204.35	Professional		$157.91	$194.38	$204.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $149.56 / $149.56	Professional		$149.56	$149.56	$149.56
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $152.13	Professional		$136.66	$136.66	$152.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $149.08 / $149.08 / $149.08	Facility		$149.08	$149.08	$149.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $149.08 / $149.08	Professional		$149.08	$149.08	$149.08