Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $461.62 / $461.62	Facility		$461.62	$461.62	$461.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $461.62	Professional		$461.62	$461.62	$461.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.78 / $493.66 / $610.97	Professional		$488.78	$493.66	$610.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.31 / $660.12 / $1,264.83	Facility		$442.31	$660.12	$1,264.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $497.83 / $497.83	Professional		$152.35	$497.83	$497.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.38 / $379.24 / $607.80	Facility		$314.38	$379.24	$607.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.19 / $379.24 / $585.45	Professional		$277.19	$379.24	$585.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $461.62 / $461.62	Professional		$118.05	$461.62	$461.62
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $497.83 / $511.40	Professional		$452.57	$497.83	$511.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $452.57 / $452.57 / $452.57	Facility		$452.57	$452.57	$452.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $452.57	Professional		$452.57	$452.57	$452.57