Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Facility		$422.89	$422.89	$422.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $495.52	Professional		$422.89	$422.89	$495.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.74 / $422.89 / $520.91	Professional		$416.74	$422.89	$520.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $692.09 / $884.40	Facility		$409.52	$692.09	$884.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $455.88 / $1,968.33	Professional		$409.52	$455.88	$1,968.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $479.85 / $519.83 / $699.77	Facility		$479.85	$519.83	$699.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $490.81 / $491.42 / $556.24	Professional		$490.81	$491.42	$556.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $462.79 / $462.79 / $462.79	Professional		$462.79	$462.79	$462.79
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $503.24	Professional		$422.89	$422.89	$503.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $448.15 / $448.15 / $448.15	Facility		$448.15	$448.15	$448.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $448.15 / $448.15	Professional		$448.15	$448.15	$448.15