Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Facility		$248.50	$248.50	$248.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $300.69	Professional		$248.50	$248.50	$300.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $248.50 / $310.27	Professional		$248.21	$248.50	$310.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $419.97 / $497.00	Facility		$248.50	$419.97	$497.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $276.63 / $1,074.29	Professional		$248.50	$276.63	$1,074.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $291.98 / $316.31 / $409.80	Facility		$291.98	$316.31	$409.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $356.81 / $372.75	Professional		$290.88	$356.81	$372.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $271.94 / $271.94	Professional		$271.94	$271.94	$271.94
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $295.72	Professional		$248.50	$248.50	$295.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $271.94 / $271.94	Facility		$271.94	$271.94	$271.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $271.94 / $271.94	Professional		$271.94	$271.94	$271.94