Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility		$2,200.00	$2,200.00	$2,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $2,200.00	Professional		$1,870.00	$2,200.00	$2,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $3,048.76 / $3,718.00	Facility		$2,200.00	$3,048.76	$3,718.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $8,360.00	Professional		$2,200.00	$2,200.00	$8,360.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,642.18 / $2,642.18 / $2,642.18	Professional		$2,642.18	$2,642.18	$2,642.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,420.00	Professional		$2,200.00	$2,200.00	$2,420.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility		$2,200.00	$2,200.00	$2,200.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Professional		$2,200.00	$2,200.00	$2,200.00