Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,365.16	Facility		$1,318.26	$1,318.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,513.56	Professional		$1,174.90	$1,380.38	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,630.78	Professional		$2,754.23	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,801.89	Facility		$1,548.82	$1,905.46	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $9,332.54	Professional		$1,174.90	$2,137.96	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,754.23	Professional		$2,511.89	$2,691.53	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $2,511.89	Professional		$1,445.44	$2,290.87	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $3,388.44	Professional		$1,659.59	$2,630.27	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,818.38	Professional		$2,290.87	$2,691.53	$2,818.38