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 / $705.00 / $705.00	Professional		$502.50	$705.00	$705.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.55 / $1,362.39 / $1,702.99	Professional		$870.55	$1,362.39	$1,702.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.85 / $849.23 / $3,562.50	Facility		$707.85	$849.23	$3,562.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $675.00 / $1,125.00	Professional		$382.50	$675.00	$1,125.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,312.50 / $1,476.00	Facility		$900.00	$1,312.50	$1,476.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,312.50 / $1,476.00	Professional		$900.00	$1,312.50	$1,476.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,806.98 / $2,060.40	Professional		$750.00	$1,806.98	$2,060.40
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $900.00	Professional		$315.00	$450.00	$900.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00