Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.68 / $1,501.68 / $4,338.00	Facility		$1,501.68	$1,501.68	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.46 / $1,501.68 / $3,653.23	Professional		$1,264.46	$1,501.68	$3,653.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.44 / $3,400.77 / $4,250.96	Professional		$2,612.44	$3,400.77	$4,250.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,749.11 / $2,215.13 / $4,048.51	Facility		$1,749.11	$2,215.13	$4,048.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,365.40 / $3,029.90 / $11,249.60	Professional		$1,365.40	$3,029.90	$11,249.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,242.67 / $3,460.99 / $4,735.51	Facility		$2,242.67	$3,460.99	$4,735.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $3,182.18 / $4,115.80	Professional		$1,760.00	$3,182.18	$4,115.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,553.05 / $2,595.23 / $3,008.73	Professional		$1,553.05	$2,595.23	$3,008.73
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 $1,365.40 / $2,702.16 / $4,203.35	Professional		$1,365.40	$2,702.16	$4,203.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,984.80 / $3,652.00 / $3,652.00	Professional		$2,984.80	$3,652.00	$3,652.00