Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,068.67 / $3,068.67 / $3,068.67	Facility		$3,068.67	$3,068.67	$3,068.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.31 / $3,068.67 / $8,594.34	Professional		$2,488.31	$3,068.67	$8,594.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,388.61 / $6,566.25 / $8,207.82	Professional		$6,388.61	$6,566.25	$8,207.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,862.02 / $4,205.24 / $7,899.23	Facility		$2,862.02	$4,205.24	$7,899.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,617.16 / $6,028.60 / $21,757.92	Professional		$3,617.16	$6,028.60	$21,757.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,663.46 / $7,220.80 / $9,117.50	Facility		$4,663.46	$7,220.80	$9,117.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,318.00 / $6,388.61 / $7,912.13	Professional		$4,318.00	$6,388.61	$7,912.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,663.82 / $4,980.64 / $5,678.49	Professional		$3,663.82	$4,980.64	$5,678.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,805.49 / $6,147.33 / $8,253.53	Professional		$3,805.49	$6,147.33	$8,253.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,409.40 / $6,364.10 / $6,618.60	Professional		$5,409.40	$6,364.10	$6,618.60