Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,096.48	Facility		$549.54	$549.54	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,148.15	Professional		$549.54	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $691.83	Professional		$549.54	$562.34	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $1,202.26	Facility		$602.56	$645.65	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $2,884.03	Professional		$602.56	$676.08	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $851.14	Professional		$724.44	$758.58	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $645.65	Professional		$549.54	$602.56	$645.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44