Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,365.16 / $4,897.79	Facility		$1,318.26	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,949.84	Professional		$1,174.90	$1,380.38	$1,949.84
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 $1,513.56 / $1,819.70 / $3,235.94	Facility		$1,513.56	$1,819.70	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $9,332.54	Professional		$1,174.90	$2,238.72	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $2,951.21	Professional		$2,630.27	$2,754.23	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,454.71	Professional		$1,445.44	$2,137.96	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $3,548.13	Professional		$1,412.54	$2,454.71	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $2,818.38	Professional		$2,290.87	$2,754.23	$2,818.38