Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $1,155.00 / $6,023.52	Facility		$1,155.00	$1,155.00	$6,023.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $1,155.00 / $1,155.00	Professional		$981.75	$1,155.00	$1,155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.66 / $969.26 / $1,199.58	Professional		$959.66	$969.26	$1,199.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $1,756.76 / $2,848.23	Facility		$1,155.00	$1,756.76	$2,848.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,097.25	Professional		$962.50	$962.50	$1,097.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,439.06 / $1,439.06 / $1,678.90	Facility		$1,439.06	$1,439.06	$1,678.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,110.92 / $1,110.92 / $1,110.92	Professional		$1,110.92	$1,110.92	$1,110.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,058.75	Professional		$962.50	$962.50	$1,058.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $962.50	Professional		$962.50	$962.50	$962.50