Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $497.00	Professional		$497.00	$497.00	$497.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,415.27 / $1,415.27 / $1,415.27	Facility		$1,415.27	$1,415.27	$1,415.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.11 / $1,289.93 / $1,612.42	Professional		$1,020.11	$1,289.93	$1,612.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.10 / $803.93 / $1,303.42	Facility		$670.10	$803.93	$1,303.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.10 / $426.00 / $1,397.23	Professional		$362.10	$426.00	$1,397.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $916.21 / $1,298.41 / $1,556.02	Facility		$916.21	$1,298.41	$1,556.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,298.41 / $1,556.02	Professional		$852.00	$1,298.41	$1,556.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,015.30 / $1,710.60 / $1,950.51	Professional		$1,015.30	$1,710.60	$1,950.51
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $362.10 / $710.00	Professional		$298.20	$362.10	$710.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $710.00 / $710.00	Professional		$710.00	$710.00	$710.00