Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.77 / $1,112.77 / $1,112.77	Facility		$1,112.77	$1,112.77	$1,112.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.80 / $1,112.77 / $2,696.38	Professional		$936.80	$1,112.77	$2,696.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.15 / $2,520.39 / $3,150.49	Professional		$1,936.15	$2,520.39	$3,150.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,463.96 / $1,914.20 / $2,963.07	Facility		$1,463.96	$1,914.20	$2,963.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,217.74 / $2,324.78 / $8,633.91	Professional		$1,217.74	$2,324.78	$8,633.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,715.24 / $2,965.91 / $10,557.56	Facility		$1,715.24	$2,965.91	$10,557.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,715.24 / $2,490.84 / $3,037.20	Professional		$1,715.24	$2,490.84	$3,037.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,387.57 / $1,889.46 / $2,222.75	Professional		$1,387.57	$1,889.46	$2,222.75
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 $1,217.74 / $1,986.32 / $3,089.83	Professional		$1,217.74	$1,986.32	$3,089.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,205.10 / $2,697.90 / $2,697.90	Professional		$2,205.10	$2,697.90	$2,697.90