Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Facility		$484.14	$484.14	$484.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $582.70	Professional		$484.14	$484.14	$582.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.28 / $493.28 / $493.28	Facility		$493.28	$493.28	$493.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.61 / $484.14 / $598.27	Professional		$478.61	$484.14	$598.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.20 / $688.65 / $1,319.50	Facility		$550.20	$688.65	$1,319.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.74 / $481.57 / $529.73	Professional		$469.74	$481.57	$529.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $563.66 / $569.91 / $822.03	Facility		$563.66	$569.91	$822.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.63 / $563.69 / $944.69	Professional		$493.63	$563.69	$944.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $529.80 / $529.80 / $529.80	Professional		$529.80	$529.80	$529.80
United Facility/Professional Professional Modifier Low / Median / High Price $469.73 / $484.14 / $532.54	Professional		$469.73	$484.14	$532.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $481.57 / $481.57	Facility		$481.57	$481.57	$481.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $481.57 / $481.57	Professional		$481.57	$481.57	$481.57