Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.41 / $2,714.41 / $2,714.41	Facility		$2,714.41	$2,714.41	$2,714.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,283.05 / $2,714.41 / $6,601.33	Professional		$2,283.05	$2,714.41	$6,601.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,703.46 / $6,128.40 / $7,660.50	Professional		$4,703.46	$6,128.40	$7,660.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,279.60 / $4,496.35 / $5,948.50	Facility		$3,279.60	$4,496.35	$5,948.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,541.46 / $5,585.12 / $20,805.56	Professional		$2,541.46	$5,585.12	$20,805.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,136.72 / $6,169.72 / $8,590.86	Facility		$4,136.72	$6,169.72	$8,590.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,136.72 / $5,366.53 / $7,452.15	Professional		$4,136.72	$5,366.53	$7,452.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,811.96 / $4,507.01 / $5,433.31	Professional		$2,811.96	$4,507.01	$5,433.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,925.54 / $4,889.09 / $7,605.25	Professional		$2,925.54	$4,889.09	$7,605.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,390.10 / $6,594.90 / $6,594.90	Professional		$5,390.10	$6,594.90	$6,594.90