Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.62 / $1,826.62 / $1,826.62	Facility		$1,826.62	$1,826.62	$1,826.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.70 / $1,826.62 / $1,826.62	Professional		$1,515.70	$1,826.62	$1,826.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,790.85 / $3,529.04 / $4,411.30	Professional		$2,790.85	$3,529.04	$4,411.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,834.00 / $2,200.30 / $3,567.34	Facility		$1,834.00	$2,200.30	$3,567.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $991.04 / $1,165.93 / $3,824.23	Professional		$991.04	$1,165.93	$3,824.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,331.85 / $2,526.17 / $4,258.72	Facility		$2,331.85	$2,526.17	$4,258.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,331.85 / $2,953.68 / $4,003.01	Professional		$2,331.85	$2,953.68	$4,003.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,778.79 / $4,681.78 / $5,338.39	Professional		$2,778.79	$4,681.78	$5,338.39
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $1,165.93 / $2,565.04	Professional		$816.15	$1,165.93	$2,565.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $1,943.21 / $1,943.21	Professional		$1,943.21	$1,943.21	$1,943.21