Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Professional		$487.59	$487.59	$487.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $1,227.19	Facility		$981.75	$981.75	$1,227.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $487.59 / $502.31	Professional		$401.85	$487.59	$502.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $824.03 / $980.00	Facility		$487.59	$824.03	$980.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $2,386.13	Professional		$487.59	$487.59	$2,386.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.63 / $519.96 / $591.96	Facility		$450.63	$519.96	$591.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $519.96 / $585.10 / $591.96	Professional		$519.96	$585.10	$591.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $533.59 / $533.59 / $533.59	Professional		$533.59	$533.59	$533.59
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $536.35	Professional		$487.59	$487.59	$536.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Professional		$487.59	$487.59	$487.59