Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Professional		$349.02	$349.02	$349.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.65 / $466.65 / $583.30	Facility		$466.65	$466.65	$583.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.31 / $370.99 / $459.14	Professional		$367.31	$370.99	$459.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $602.57 / $810.00	Facility		$356.55	$602.57	$810.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $356.55 / $2,835.00	Professional		$356.55	$356.55	$2,835.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.86 / $527.04 / $590.97	Facility		$427.86	$527.04	$590.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $432.61 / $527.04	Professional		$427.86	$432.61	$527.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $381.94 / $381.94 / $381.94	Professional		$381.94	$381.94	$381.94
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $799.54	Professional		$349.02	$349.02	$799.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $356.55 / $356.55	Facility		$356.55	$356.55	$356.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $356.55 / $356.55	Professional		$356.55	$356.55	$356.55