Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.27 / $1,943.27 / $1,943.27	Facility		$1,943.27	$1,943.27	$1,943.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.40 / $1,943.27 / $4,594.92	Professional		$1,626.40	$1,943.27	$4,594.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,337.24 / $4,344.26 / $5,430.33	Professional		$3,337.24	$4,344.26	$5,430.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.05 / $3,252.80 / $5,726.96	Facility		$2,570.05	$3,252.80	$5,726.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,003.43 / $3,902.37 / $19,633.29	Professional		$2,003.43	$3,902.37	$19,633.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,897.29 / $4,513.45 / $6,005.68	Facility		$2,897.29	$4,513.45	$6,005.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,897.29 / $4,247.42 / $5,195.60	Professional		$2,897.29	$4,247.42	$5,195.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,350.57 / $3,311.35 / $3,775.31	Professional		$2,350.57	$3,311.35	$3,775.31
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 $2,003.43 / $3,464.71 / $5,389.55	Professional		$2,003.43	$3,464.71	$5,389.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,745.30 / $4,582.39 / $4,582.39	Professional		$3,745.30	$4,582.39	$4,582.39