Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Facility		$416.78	$416.78	$416.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $490.19 / $625.16	Professional		$416.78	$490.19	$625.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.70 / $757.05 / $946.32	Professional		$598.70	$757.05	$946.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.00 / $704.36 / $1,141.98	Facility		$596.00	$704.36	$1,141.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.40 / $250.10 / $2,075.56	Professional		$211.40	$250.10	$2,075.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $541.80 / $913.41	Facility		$500.14	$541.80	$913.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $691.05 / $913.41	Professional		$500.14	$691.05	$913.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $1,004.15 / $1,144.98	Professional		$596.00	$1,004.15	$1,144.98
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $214.79 / $550.15	Professional		$175.05	$214.79	$550.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78