Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.13 / $2,145.13 / $4,338.00	Facility		$2,145.13	$2,145.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,805.46 / $2,145.13 / $5,227.95	Professional		$1,805.46	$2,145.13	$5,227.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,724.47 / $4,848.34 / $6,060.42	Professional		$3,724.47	$4,848.34	$6,060.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,833.34 / $3,554.86 / $5,811.52	Facility		$2,833.34	$3,554.86	$5,811.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,147.46 / $4,494.32 / $21,191.92	Professional		$2,147.46	$4,494.32	$21,191.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,325.46 / $4,989.68 / $6,790.94	Facility		$3,325.46	$4,989.68	$6,790.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,325.46 / $4,612.97 / $5,894.46	Professional		$3,325.46	$4,612.97	$5,894.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,717.05 / $3,724.30 / $4,301.89	Professional		$2,717.05	$3,724.30	$4,301.89
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 $2,147.46 / $3,959.28 / $6,023.89	Professional		$2,147.46	$3,959.28	$6,023.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,267.60 / $5,221.60 / $5,221.60	Professional		$4,267.60	$5,221.60	$5,221.60