Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $705.00 / $705.00	Facility		$705.00	$705.00	$705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.50 / $585.00 / $705.00	Professional		$502.50	$585.00	$705.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.91 / $1,494.91 / $1,494.91	Facility		$1,494.91	$1,494.91	$1,494.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.41 / $1,362.39 / $1,702.99	Professional		$1,077.41	$1,362.39	$1,702.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.85 / $849.23 / $1,376.85	Facility		$707.85	$849.23	$1,376.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $1,634.38	Professional		$382.50	$450.00	$1,634.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $967.82 / $1,371.56 / $1,643.69	Facility		$967.82	$1,371.56	$1,643.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,371.56 / $1,643.69	Professional		$900.00	$1,371.56	$1,643.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,072.50 / $1,806.98 / $2,060.40	Professional		$1,072.50	$1,806.98	$2,060.40
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $990.00	Professional		$315.00	$450.00	$990.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00