Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.42 / $365.42 / $365.42	Facility		$365.42	$365.42	$365.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $365.42 / $365.42	Professional		$303.30	$365.42	$365.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.91 / $261.14 / $261.14	Professional		$208.91	$261.14	$261.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $418.05 / $901.13	Facility		$158.62	$418.05	$901.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $298.30 / $328.13	Professional		$257.80	$298.30	$328.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $309.36 / $489.38	Facility		$78.90	$309.36	$489.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $309.36 / $489.38	Professional		$125.83	$309.36	$489.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $316.95 / $316.95	Professional		$316.95	$316.95	$316.95
United Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $298.30 / $298.30	Professional		$253.56	$298.30	$298.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $298.30 / $298.30 / $298.30	Facility		$298.30	$298.30	$298.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $298.30	Professional		$298.30	$298.30	$298.30