Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,200.00 / $1,200.00	Professional		$1,020.00	$1,200.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,662.96 / $2,028.00	Facility		$1,200.00	$1,662.96	$2,028.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $4,560.00	Professional		$788.99	$788.99	$4,560.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Professional		$849.99	$849.99	$849.99
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $867.89	Professional		$788.99	$788.99	$867.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $899.99 / $899.99 / $899.99	Facility		$899.99	$899.99	$899.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $899.99 / $899.99 / $899.99	Professional		$899.99	$899.99	$899.99