Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.72 / $1,042.72 / $3,511.00	Facility		$1,042.72	$1,042.72	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.90 / $1,042.72 / $2,520.19	Professional		$878.90	$1,042.72	$2,520.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.64 / $2,370.02 / $2,962.53	Professional		$1,820.64	$2,370.02	$2,962.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,262.54 / $1,719.74 / $2,743.51	Facility		$1,262.54	$1,719.74	$2,743.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,017.03 / $2,122.92 / $7,778.24	Professional		$1,017.03	$2,122.92	$7,778.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,928.55 / $2,783.29 / $8,250.46	Facility		$1,928.55	$2,783.29	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,563.19 / $2,188.69 / $2,824.12	Professional		$1,563.19	$2,188.69	$2,824.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,255.61 / $1,768.48 / $2,080.42	Professional		$1,255.61	$1,768.48	$2,080.42
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 $1,017.03 / $1,850.40 / $2,878.40	Professional		$1,017.03	$1,850.40	$2,878.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,063.90 / $2,525.19 / $2,525.19	Professional		$2,063.90	$2,525.19	$2,525.19