Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Facility		$960.00	$960.00	$960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $960.00 / $960.00	Professional		$796.80	$960.00	$960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.96 / $1,163.96 / $1,454.95	Professional		$1,163.96	$1,163.96	$1,454.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $837.50 / $1,370.89 / $3,362.23	Facility		$837.50	$1,370.89	$3,362.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $800.00 / $1,275.00	Professional		$87.98	$800.00	$1,275.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,318.52 / $1,713.62 / $3,167.40	Facility		$1,318.52	$1,713.62	$3,167.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $1,370.89 / $3,189.05	Professional		$82.86	$1,370.89	$3,189.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $880.00	Professional		$800.00	$800.00	$880.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00