Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.38 / $1,725.38 / $1,725.38	Facility		$1,725.38	$1,725.38	$1,725.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,436.50 / $1,725.38 / $2,882.52	Professional		$1,436.50	$1,725.38	$2,882.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.33 / $3,878.36 / $4,847.95	Professional		$2,979.33	$3,878.36	$4,847.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,063.53 / $2,700.61 / $4,669.64	Facility		$2,063.53	$2,700.61	$4,669.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,599.66 / $3,468.76 / $14,973.86	Professional		$1,599.66	$3,468.76	$14,973.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,567.85 / $3,943.12 / $5,243.38	Facility		$2,567.85	$3,943.12	$5,243.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,567.85 / $3,305.24 / $4,557.18	Professional		$2,567.85	$3,305.24	$4,557.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,090.02 / $2,899.98 / $3,306.31	Professional		$2,090.02	$2,899.98	$3,306.31
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 $1,573.69 / $3,109.81 / $4,837.47	Professional		$1,573.69	$3,109.81	$4,837.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,280.00 / $4,013.20 / $4,013.20	Professional		$3,280.00	$4,013.20	$4,013.20