Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $209.56 / $209.56	Facility		$209.56	$209.56	$209.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $209.56 / $209.56	Professional		$178.13	$209.56	$209.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $283.33 / $354.16	Facility		$209.56	$283.33	$354.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $796.33	Professional		$202.90	$202.90	$796.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $207.93 / $207.93	Professional		$207.93	$207.93	$207.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Professional		$163.51	$163.51	$163.51
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $223.19	Professional		$202.90	$202.90	$223.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $173.13 / $173.13 / $173.13	Facility		$173.13	$173.13	$173.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $173.13 / $173.13	Professional		$173.13	$173.13	$173.13