Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.36 / $1,888.36 / $4,338.00	Facility		$1,888.36	$1,888.36	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,603.41 / $1,888.36 / $5,843.95	Professional		$1,603.41	$1,888.36	$5,843.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,236.32 / $4,266.35 / $5,332.94	Professional		$3,236.32	$4,266.35	$5,332.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,158.05 / $3,115.02 / $5,096.60	Facility		$2,158.05	$3,115.02	$5,096.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,800.50 / $3,794.53 / $14,438.08	Professional		$1,800.50	$3,794.53	$14,438.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,800.23 / $4,348.02 / $6,294.54	Facility		$2,800.23	$4,348.02	$6,294.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,800.23 / $3,932.05 / $5,449.68	Professional		$2,800.23	$3,932.05	$5,449.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,505.60 / $3,428.98 / $4,029.54	Professional		$2,505.60	$3,428.98	$4,029.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,987.61 / $3,613.84 / $5,246.92	Professional		$1,987.61	$3,613.84	$5,246.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,997.50 / $4,891.00 / $4,891.00	Professional		$3,997.50	$4,891.00	$4,891.00