Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.85 / $1,473.85 / $4,338.00	Facility		$1,473.85	$1,473.85	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.97 / $1,473.85 / $3,583.88	Professional		$1,240.97	$1,473.85	$3,583.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,564.57 / $3,338.44 / $4,173.05	Professional		$2,564.57	$3,338.44	$4,173.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.45 / $2,154.44 / $3,970.37	Facility		$1,548.45	$2,154.44	$3,970.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,339.01 / $3,076.27 / $11,038.40	Professional		$1,339.01	$3,076.27	$11,038.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,272.33 / $3,396.30 / $4,644.78	Facility		$2,272.33	$3,396.30	$4,644.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,753.34 / $3,094.68 / $4,038.93	Professional		$1,753.34	$3,094.68	$4,038.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,523.91 / $2,545.34 / $2,951.80	Professional		$1,523.91	$2,545.34	$2,951.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.01 / $2,650.81 / $4,123.47	Professional		$1,339.01	$2,650.81	$4,123.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,928.30 / $3,582.90 / $3,582.90	Professional		$2,928.30	$3,582.90	$3,582.90