Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $612.60 / $612.60	Facility		$612.60	$612.60	$612.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $612.60 / $612.60	Professional		$508.46	$612.60	$612.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Facility		$510.50	$510.50	$510.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.49 / $515.59 / $638.11	Professional		$510.49	$515.59	$638.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $788.42 / $1,510.67	Facility		$612.60	$788.42	$1,510.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $561.54	Professional		$510.50	$510.50	$561.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $809.28 / $809.28 / $944.16	Facility		$809.28	$809.28	$944.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $613.11 / $613.11 / $613.11	Professional		$613.11	$613.11	$613.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $561.54	Professional		$510.50	$510.50	$561.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Facility		$510.50	$510.50	$510.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50