Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Facility		$243.71	$243.71	$243.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.15 / $295.02	Professional		$243.71	$246.15	$295.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.00 / $292.00 / $292.00	Facility		$292.00	$292.00	$292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $244.65 / $305.81	Professional		$243.71	$244.65	$305.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $412.06 / $487.64	Facility		$243.82	$412.06	$487.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $271.42 / $1,059.88	Professional		$243.82	$271.42	$1,059.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $312.89 / $408.21	Facility		$288.08	$312.89	$408.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $360.10 / $365.73	Professional		$288.16	$360.10	$365.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $266.70 / $266.70	Professional		$266.70	$266.70	$266.70
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $271.30	Professional		$243.71	$243.71	$271.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Professional		$266.83	$266.83	$266.83