Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $512.86	Professional		$457.09	$457.09	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,258.93 / $1,584.89	Facility		$169.82	$1,258.93	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Professional		$512.86	$512.86	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,412.54	Facility		$331.13	$562.34	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $3,630.78	Professional		$331.13	$331.13	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $602.56	Professional		$398.11	$398.11	$602.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,659.59	Professional		$125.89	$275.42	$1,659.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09