Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $158.91 / $189.47	Professional		$151.58	$158.91	$189.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $268.57 / $654.50	Facility		$158.91	$268.57	$654.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $158.91 / $177.99	Professional		$135.08	$158.91	$177.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $178.52 / $197.98	Facility		$151.91	$178.52	$197.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $170.20 / $222.36	Professional		$81.04	$170.20	$222.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $173.91 / $173.91	Professional		$173.91	$173.91	$173.91
United Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $158.91 / $177.99	Professional		$148.24	$158.91	$177.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $173.91	Professional		$158.91	$158.91	$173.91