Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Facility		$495.55	$495.55	$495.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $499.38 / $598.26	Professional		$495.55	$499.38	$598.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.90 / $504.90 / $504.90	Facility		$504.90	$504.90	$504.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.54 / $495.55 / $616.91	Professional		$493.54	$495.55	$616.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.99 / $707.03 / $1,354.74	Facility		$560.99	$707.03	$1,354.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $494.43 / $543.87	Professional		$484.40	$494.43	$543.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $581.28 / $593.32 / $847.70	Facility		$581.28	$593.32	$847.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $581.28 / $726.60	Professional		$552.22	$581.28	$726.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $542.29 / $542.29	Professional		$542.29	$542.29	$542.29
United Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $495.55 / $545.11	Professional		$484.40	$495.55	$545.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $494.43 / $494.43	Facility		$494.43	$494.43	$494.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $494.43 / $494.43	Professional		$494.43	$494.43	$494.43