Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.00 / $2,480.00 / $2,480.00	Professional		$2,480.00	$2,480.00	$2,480.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $4,191.20 / $6,795.20	Facility		$2,480.00	$4,191.20	$6,795.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,116.50 / $2,116.50 / $2,116.50	Professional		$2,116.50	$2,116.50	$2,116.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,490.00 / $2,490.00 / $2,490.00	Facility		$2,490.00	$2,490.00	$2,490.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $2,490.00 / $2,490.00	Professional		$2,490.00	$2,490.00	$2,490.00