Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $650.24	Facility		$257.99	$257.99	$650.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $325.06	Professional		$257.99	$257.99	$325.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $262.88 / $328.59	Professional		$262.88	$262.88	$328.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.57 / $368.93 / $706.89	Facility		$271.57	$368.93	$706.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $283.79 / $283.79	Professional		$257.99	$283.79	$283.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.16 / $309.58 / $366.21	Facility		$231.16	$309.58	$366.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.76 / $297.02 / $386.98	Professional		$184.76	$297.02	$386.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $230.83 / $230.83	Professional		$130.35	$230.83	$230.83
United Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $283.79 / $291.52	Professional		$271.57	$283.79	$291.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Facility		$257.99	$257.99	$257.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99