Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.50 / $897.50 / $897.50	Facility		$897.50	$897.50	$897.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $897.50 / $897.50	Professional		$762.88	$897.50	$897.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.12 / $1,102.00 / $1,377.50	Facility		$651.12	$1,102.00	$1,377.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $834.77 / $1,033.13	Professional		$826.50	$834.77	$1,033.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $1,213.42 / $1,516.78	Facility		$376.54	$1,213.42	$1,516.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $3,410.50	Professional		$1,997.50	$1,997.50	$3,410.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.06 / $479.00 / $1,240.79	Facility		$240.06	$479.00	$1,240.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $1,062.19 / $1,240.79	Professional		$284.83	$1,062.19	$1,240.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $935.00	Professional		$935.00	$935.00	$935.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,636.70	Professional		$1,997.50	$1,997.50	$2,636.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $990.00 / $990.00	Facility		$990.00	$990.00	$990.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $990.00 / $990.00	Professional		$990.00	$990.00	$990.00