Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,620.00 / $1,620.00	Professional		$1,377.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,842.78	Professional		$1,377.00	$1,377.00	$1,842.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,245.00 / $2,737.80	Facility		$1,620.00	$2,245.00	$2,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $5,814.00	Professional		$1,350.00	$1,350.00	$5,814.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,364.63 / $1,842.78 / $2,916.26	Facility		$1,364.63	$1,842.78	$2,916.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,346.31 / $1,364.63 / $1,842.78	Professional		$1,346.31	$1,364.63	$1,842.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,485.00	Professional		$1,350.00	$1,350.00	$1,485.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Facility		$1,350.00	$1,350.00	$1,350.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Professional		$1,350.00	$1,350.00	$1,350.00