Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.77 / $264.77 / $270.10	Facility		$264.77	$264.77	$270.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $264.77 / $384.75	Professional		$241.81	$264.77	$384.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $510.86 / $638.58	Professional		$414.60	$510.86	$638.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.77 / $337.88 / $573.11	Facility		$231.77	$337.88	$573.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.46 / $531.55 / $5,040.00	Professional		$255.46	$531.55	$5,040.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.56 / $568.34 / $625.00	Facility		$476.56	$568.34	$625.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.03 / $527.41 / $646.14	Professional		$493.03	$527.41	$646.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $406.93 / $487.12	Professional		$287.80	$406.93	$487.12
United Facility/Professional Professional Modifier Low / Median / High Price $255.46 / $446.26 / $538.76	Professional		$255.46	$446.26	$538.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $493.80 / $604.10 / $614.70	Professional		$493.80	$604.10	$614.70