Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.85 / $742.85 / $928.56	Facility		$742.85	$742.85	$928.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $315.75 / $320.80	Professional		$252.60	$315.75	$320.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $329.26 / $533.83	Facility		$194.83	$329.26	$533.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $194.83 / $4,750.00	Professional		$194.83	$194.83	$4,750.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $331.68 / $864.86	Facility		$233.79	$331.68	$864.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $297.50 / $1,501.24	Professional		$233.79	$297.50	$1,501.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $606.19 / $606.19 / $606.19	Professional		$606.19	$606.19	$606.19
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $609.33	Professional		$553.94	$553.94	$609.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $194.83 / $194.83	Facility		$194.83	$194.83	$194.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $194.83 / $194.83	Professional		$194.83	$194.83	$194.83