Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $272.52	Professional		$245.30	$245.30	$272.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.70 / $332.70 / $415.88	Facility		$332.70	$332.70	$415.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $254.18 / $314.58	Professional		$251.66	$254.18	$314.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $408.76 / $421.01	Facility		$241.87	$408.76	$421.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $241.87 / $1,071.67	Professional		$241.87	$241.87	$1,071.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $290.24 / $315.55 / $364.09	Facility		$290.24	$315.55	$364.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $290.33 / $336.52	Professional		$290.24	$290.33	$336.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $268.45 / $268.45	Professional		$268.45	$268.45	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $245.30 / $269.83	Professional		$233.04	$245.30	$269.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $241.87 / $241.87	Facility		$241.87	$241.87	$241.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $241.87 / $241.87	Professional		$241.87	$241.87	$241.87