Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.13 / $1,111.13 / $4,338.00	Facility		$1,111.13	$1,111.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.97 / $1,111.13 / $1,761.94	Professional		$936.97	$1,111.13	$1,761.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.56 / $2,515.71 / $3,144.64	Professional		$1,932.56	$2,515.71	$3,144.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,439.45 / $1,857.09 / $2,929.46	Facility		$1,439.45	$1,857.09	$2,929.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.36 / $2,286.06 / $8,747.54	Professional		$1,068.36	$2,286.06	$8,747.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,750.56 / $8,250.46	Facility		$1,932.00	$2,750.56	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,683.24 / $2,312.62 / $3,000.80	Professional		$1,683.24	$2,312.62	$3,000.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,379.68 / $1,879.27 / $2,206.58	Professional		$1,379.68	$1,879.27	$2,206.58
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 $982.86 / $1,790.13 / $3,046.06	Professional		$982.86	$1,790.13	$3,046.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,189.00 / $2,678.30 / $2,678.30	Professional		$2,189.00	$2,678.30	$2,678.30