Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,178.83 / $2,178.83 / $4,338.00	Facility		$2,178.83	$2,178.83	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.39 / $2,178.83 / $3,969.60	Professional		$1,821.39	$2,178.83	$3,969.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,793.45 / $4,892.75 / $6,115.94	Professional		$3,793.45	$4,892.75	$6,115.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,872.70 / $3,619.15 / $5,749.40	Facility		$2,872.70	$3,619.15	$5,749.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,026.04 / $4,413.97 / $19,652.56	Professional		$2,026.04	$4,413.97	$19,652.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,268.50 / $4,988.95 / $6,829.52	Facility		$3,268.50	$4,988.95	$6,829.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,268.50 / $4,489.16 / $5,926.89	Professional		$3,268.50	$4,489.16	$5,926.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,622.31 / $3,769.24 / $4,297.35	Professional		$2,622.31	$3,769.24	$4,297.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $11,831.32	Facility		$4,500.00	$4,500.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,987.51 / $4,203.78 / $6,129.23	Professional		$1,987.51	$4,203.78	$6,129.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,263.10 / $5,216.10 / $5,216.10	Professional		$4,263.10	$5,216.10	$5,216.10