Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.00 / $846.00 / $846.00	Facility		$846.00	$846.00	$846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $702.00 / $1,350.00	Professional		$306.00	$702.00	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.55 / $1,794.55 / $1,794.55	Facility		$1,794.55	$1,794.55	$1,794.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.69 / $1,634.61 / $2,043.26	Professional		$1,292.69	$1,634.61	$2,043.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,019.07 / $1,429.74	Facility		$515.00	$1,019.07	$1,429.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $540.00 / $1,650.23	Professional		$459.00	$540.00	$1,650.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,161.39 / $1,650.23 / $2,000.05	Facility		$1,161.39	$1,650.23	$2,000.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,650.23 / $1,972.42	Professional		$1,080.00	$1,650.23	$1,972.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $2,168.37 / $2,472.48	Professional		$1,287.00	$2,168.37	$2,472.48
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $459.00 / $900.00	Professional		$378.00	$459.00	$900.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00