Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $723.84 / $723.84	Facility		$723.84	$723.84	$723.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $723.84 / $723.84	Professional		$615.26	$723.84	$723.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $1,003.10 / $1,223.29	Facility		$723.84	$1,003.10	$1,223.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $2,750.59	Professional		$723.84	$723.84	$2,750.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $869.33 / $869.33 / $869.33	Professional		$869.33	$869.33	$869.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $796.22	Professional		$723.84	$723.84	$796.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $723.84 / $723.84	Facility		$723.84	$723.84	$723.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $723.84	Professional		$723.84	$723.84	$723.84