Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $1,494.00 / $1,494.00	Facility		$1,494.00	$1,494.00	$1,494.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,494.00 / $1,494.00	Professional		$1,269.90	$1,494.00	$1,494.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.50 / $395.50 / $494.38	Facility		$395.50	$395.50	$494.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $302.56 / $370.78	Professional		$296.63	$302.56	$370.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $2,070.39 / $2,524.86	Facility		$291.27	$2,070.39	$2,524.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $5,677.20	Professional		$1,245.00	$1,245.00	$5,677.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.70 / $370.70 / $370.70	Facility		$370.70	$370.70	$370.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $1,603.32 / $1,603.32	Professional		$370.70	$1,603.32	$1,603.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,361.70	Professional		$1,361.70	$1,361.70	$1,361.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,692.70	Professional		$1,245.00	$1,245.00	$1,692.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $1,335.00 / $1,335.00	Facility		$1,335.00	$1,335.00	$1,335.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $1,335.00 / $1,335.00	Professional		$1,335.00	$1,335.00	$1,335.00