Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.15 / $506.15 / $632.69	Facility		$506.15	$506.15	$632.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.66 / $318.00 / $348.33	Professional		$278.66	$318.00	$348.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $537.41 / $871.32	Facility		$318.00	$537.41	$871.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $1,994.29	Professional		$318.00	$318.00	$1,994.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.21 / $482.12 / $1,074.25	Facility		$328.21	$482.12	$1,074.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $381.60 / $1,486.34	Professional		$328.21	$381.60	$1,486.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $349.80	Professional		$318.00	$318.00	$349.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00