Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $467.74	Professional		$275.42	$331.13	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $912.01	Professional		$588.84	$724.44	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $758.58	Facility		$275.42	$416.87	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $758.58	Professional		$288.40	$467.74	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $602.56	Professional		$407.38	$562.34	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $758.58	Professional		$371.54	$549.54	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $602.56	Professional		$512.86	$602.56	$602.56