Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.70 / $357.70 / $447.13	Facility		$357.70	$357.70	$447.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $290.02 / $334.88	Professional		$267.89	$290.02	$334.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $397.44 / $1,388.78	Facility		$235.17	$397.44	$1,388.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $235.17 / $1,778.96	Professional		$235.17	$235.17	$1,778.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.20 / $342.36 / $759.55	Facility		$282.20	$342.36	$759.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $315.51 / $759.55	Professional		$282.20	$315.51	$759.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $224.29 / $224.29 / $224.29	Professional		$224.29	$224.29	$224.29
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $225.46	Professional		$204.96	$204.96	$225.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $235.17 / $235.17	Facility		$235.17	$235.17	$235.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $235.17 / $235.17	Professional		$235.17	$235.17	$235.17