Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $939.60	Facility		$564.00	$564.00	$939.60
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 Facility Modifier Low / Median / High Price $1,195.93 / $1,195.93 / $1,195.93	Facility		$1,195.93	$1,195.93	$1,195.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.68 / $1,090.18 / $1,362.72	Professional		$843.68	$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 / $1,100.16	Professional		$306.00	$360.00	$1,100.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $774.26 / $1,100.16 / $1,333.36	Facility		$774.26	$1,100.16	$1,333.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,100.16 / $1,314.96	Professional		$720.00	$1,100.16	$1,314.96
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 / $360.00 / $792.00	Professional		$252.00	$360.00	$792.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00