Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $468.00 / $564.00	Professional		$402.00	$468.00	$564.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.14 / $1,090.18 / $1,362.72	Professional		$862.14	$1,090.18	$1,362.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.28 / $679.38 / $1,101.48	Facility		$566.28	$679.38	$1,101.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $360.00 / $1,180.80	Professional		$306.00	$360.00	$1,180.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $780.00 / $1,314.96	Facility		$720.00	$780.00	$1,314.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $912.00 / $1,236.00	Professional		$720.00	$912.00	$1,236.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,445.58 / $1,648.32	Professional		$858.00	$1,445.58	$1,648.32
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $306.00 / $600.00	Professional		$252.00	$306.00	$600.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00