Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $4,365.16	Facility		$1,288.25	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $2,691.53	Professional		$1,230.27	$1,318.26	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,073.80	Professional		$2,454.71	$3,235.94	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,467.37	Facility		$1,659.59	$2,089.30	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $10,964.78	Professional		$1,174.90	$2,187.76	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,019.95	Professional		$2,818.38	$3,019.95	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,884.03	Professional		$2,818.38	$2,818.38	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $2,818.38	Professional		$1,174.90	$2,290.87	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $3,630.78	Professional		$1,412.54	$2,398.83	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,388.44	Professional		$2,754.23	$3,235.94	$3,388.44