Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.80 / $1,443.80 / $1,443.80	Facility		$1,443.80	$1,443.80	$1,443.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.24 / $1,443.80 / $2,299.66	Professional		$1,202.24	$1,443.80	$2,299.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,495.15 / $3,248.07 / $4,060.08	Professional		$2,495.15	$3,248.07	$4,060.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,817.07 / $2,364.23 / $3,949.41	Facility		$1,817.07	$2,364.23	$3,949.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.87 / $3,051.70 / $17,154.97	Professional		$1,350.87	$3,051.70	$17,154.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,653.82 / $3,724.67 / $6,855.77	Facility		$2,653.82	$3,724.67	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,251.28 / $2,867.36 / $3,809.50	Professional		$2,251.28	$2,867.36	$3,809.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,751.50 / $2,427.34 / $2,767.44	Professional		$1,751.50	$2,427.34	$2,767.44
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 $1,350.87 / $2,824.12 / $4,039.62	Professional		$1,350.87	$2,824.12	$4,039.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,745.40 / $3,359.10 / $3,359.10	Professional		$2,745.40	$3,359.10	$3,359.10