Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,560.00	Facility		$1,560.00	$1,560.00	$1,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.00 / $1,326.00 / $1,560.00	Professional		$1,248.00	$1,326.00	$1,560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.18 / $414.89 / $518.62	Professional		$377.18	$414.89	$518.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.37 / $539.35 / $754.34	Facility		$204.37	$539.35	$754.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $1,447.17 / $1,592.50	Professional		$388.77	$1,447.17	$1,592.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.78 / $242.77 / $495.95	Facility		$203.78	$242.77	$495.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $398.26 / $502.70	Professional		$203.78	$398.26	$502.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $356.22	Professional		$356.22	$356.22	$356.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,547.00	Professional		$1,300.00	$1,300.00	$1,547.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $405.11 / $405.11 / $405.11	Facility		$405.11	$405.11	$405.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $405.11 / $405.11 / $405.11	Professional		$405.11	$405.11	$405.11