Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.73 / $1,675.73 / $4,338.00	Facility		$1,675.73	$1,675.73	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.94 / $1,675.73 / $4,019.95	Professional		$1,401.94	$1,675.73	$4,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,897.94 / $3,772.40 / $4,715.50	Professional		$2,897.94	$3,772.40	$4,715.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,208.28 / $2,771.77 / $4,061.82	Facility		$2,208.28	$2,771.77	$4,061.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,595.58 / $3,203.24 / $17,970.61	Professional		$1,595.58	$3,203.24	$17,970.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,375.39 / $3,838.52 / $5,244.42	Facility		$2,375.39	$3,838.52	$5,244.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,375.39 / $3,330.68 / $4,552.64	Professional		$2,375.39	$3,330.68	$4,552.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,917.30 / $2,601.46 / $3,310.19	Professional		$1,917.30	$2,601.46	$3,310.19
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 $1,677.89 / $3,050.70 / $4,708.56	Professional		$1,677.89	$3,050.70	$4,708.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,283.80 / $4,017.90 / $4,017.90	Professional		$3,283.80	$4,017.90	$4,017.90