Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,166.32 / $3,166.32 / $3,166.32	Facility		$3,166.32	$3,166.32	$3,166.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,826.93 / $3,166.32 / $5,023.97	Professional		$2,826.93	$3,166.32	$5,023.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,307.07 / $3,639.18 / $4,548.97	Professional		$3,307.07	$3,639.18	$4,548.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,857.11 / $4,777.51 / $6,553.40	Facility		$1,857.11	$4,777.51	$6,553.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,108.26 / $4,392.20 / $25,045.36	Professional		$2,108.26	$4,392.20	$25,045.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,308.06 / $6,098.07 / $8,302.87	Facility		$2,308.06	$6,098.07	$8,302.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,420.77 / $6,201.96 / $8,404.93	Professional		$1,420.77	$6,201.96	$8,404.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $888.94 / $888.94 / $888.94	Professional		$888.94	$888.94	$888.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,283.94 / $4,392.20 / $8,573.40	Professional		$2,283.94	$4,392.20	$8,573.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,015.20 / $1,242.20 / $1,242.20	Professional		$1,015.20	$1,242.20	$1,242.20