Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Facility		$297.33	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.33 / $297.33	Professional		$280.50	$297.33	$297.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $277.62 / $343.59	Professional		$274.88	$277.62	$343.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $474.05 / $768.57	Facility		$330.00	$474.05	$768.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.21 / $330.28 / $330.28	Professional		$255.21	$330.28	$330.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $330.27 / $330.27 / $330.27	Professional		$330.27	$330.27	$330.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
United Facility/Professional Professional Modifier Low / Median / High Price $330.28 / $330.28 / $349.80	Professional		$330.28	$330.28	$349.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Facility		$275.00	$275.00	$275.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00