Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $829.95	Professional		$686.00	$686.00	$829.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.92 / $686.00 / $817.41	Professional		$653.92	$686.00	$817.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $1,159.19 / $1,879.39	Facility		$685.91	$1,159.19	$1,879.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $763.56 / $2,835.75	Professional		$685.91	$763.56	$2,835.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.19 / $963.43 / $1,124.01	Facility		$770.19	$963.43	$1,124.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $770.19 / $1,027.71 / $1,028.85	Professional		$770.19	$1,027.71	$1,028.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $750.72	Professional		$750.72	$750.72	$750.72
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $688.14 / $847.82	Professional		$686.00	$688.14	$847.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $750.61 / $750.61 / $750.61	Facility		$750.61	$750.61	$750.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.61 / $750.61 / $750.61	Professional		$750.61	$750.61	$750.61