Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.80 / $1,399.80 / $4,338.00	Facility		$1,399.80	$1,399.80	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.58 / $1,399.80 / $3,297.40	Professional		$1,168.58	$1,399.80	$3,297.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,450.48 / $3,130.42 / $3,913.03	Professional		$2,450.48	$3,130.42	$3,913.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.31 / $2,326.88 / $3,681.93	Facility		$1,819.31	$2,326.88	$3,681.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,434.04 / $2,870.99 / $11,584.70	Professional		$1,434.04	$2,870.99	$11,584.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,123.80 / $3,173.33 / $4,320.47	Facility		$2,123.80	$3,173.33	$4,320.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,123.80 / $3,031.42 / $3,704.76	Professional		$2,123.80	$3,031.42	$3,704.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,684.67 / $2,324.28 / $2,712.45	Professional		$1,684.67	$2,324.28	$2,712.45
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 $1,503.85 / $2,455.90 / $3,820.29	Professional		$1,503.85	$2,455.90	$3,820.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,690.90 / $3,292.30 / $3,292.30	Professional		$2,690.90	$3,292.30	$3,292.30