Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Facility		$318.52	$318.52	$318.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $384.08	Professional		$318.52	$318.52	$384.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.89 / $398.63	Professional		$318.52	$318.89	$398.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $536.44 / $634.84	Facility		$317.42	$536.44	$634.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $353.36 / $1,374.70	Professional		$317.42	$353.36	$1,374.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $373.63 / $405.06 / $526.30	Facility		$373.63	$405.06	$526.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $375.59 / $467.03 / $476.13	Professional		$375.59	$467.03	$476.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $348.58 / $348.58 / $348.58	Professional		$348.58	$348.58	$348.58
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $379.05	Professional		$318.52	$318.52	$379.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $347.37 / $347.37 / $347.37	Facility		$347.37	$347.37	$347.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $347.37 / $347.37 / $347.37	Professional		$347.37	$347.37	$347.37