Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Facility		$138.74	$138.74	$138.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $140.12 / $208.11	Professional		$138.74	$140.12	$208.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.05 / $204.52 / $232.56	Facility		$186.05	$204.52	$232.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $163.63 / $173.67	Professional		$138.94	$163.63	$173.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $230.14 / $272.36	Facility		$136.18	$230.14	$272.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $136.18 / $1,448.75	Professional		$136.18	$136.18	$1,448.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $180.38 / $208.13	Facility		$163.41	$180.38	$208.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $163.63 / $192.29	Professional		$161.19	$163.63	$192.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $151.83 / $151.83	Professional		$151.83	$151.83	$151.83
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.61	Professional		$138.74	$138.74	$152.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Professional		$136.18	$136.18	$136.18