Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.81 / $1,690.81 / $1,690.81	Facility		$1,690.81	$1,690.81	$1,690.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,474.13 / $1,690.81 / $1,690.81	Professional		$1,474.13	$1,690.81	$1,690.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,612.22 / $3,974.97 / $4,968.71	Professional		$3,612.22	$3,974.97	$4,968.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,108.01 / $2,712.58 / $4,498.54	Facility		$2,108.01	$2,712.58	$4,498.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,643.99 / $3,536.17 / $13,065.44	Professional		$1,643.99	$3,536.17	$13,065.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $3,929.20 / $4,717.17	Facility		$2,750.00	$3,929.20	$4,717.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,516.00 / $3,797.77 / $4,770.34	Professional		$2,516.00	$3,797.77	$4,770.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,974.08 / $2,714.13 / $3,477.73	Professional		$1,974.08	$2,714.13	$3,477.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,716.07 / $3,162.83 / $4,919.96	Professional		$1,716.07	$3,162.83	$4,919.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,187.30 / $3,749.80 / $3,899.80	Professional		$3,187.30	$3,749.80	$3,899.80