Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Facility		$258.64	$258.64	$258.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $312.81	Professional		$258.64	$258.64	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $258.64 / $317.02	Professional		$253.61	$258.64	$317.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.40 / $436.90 / $517.04	Facility		$209.40	$436.90	$517.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $287.79 / $6,942.60	Professional		$258.52	$287.79	$6,942.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.63 / $323.61 / $403.57	Facility		$209.63	$323.61	$403.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $298.72 / $387.77	Professional		$166.39	$298.72	$387.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $283.04 / $283.04	Professional		$258.58	$283.04	$283.04
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $307.77	Professional		$258.64	$258.64	$307.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $282.89 / $282.89 / $282.89	Facility		$282.89	$282.89	$282.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $282.89	Professional		$282.89	$282.89	$282.89