Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.04 / $1,855.04 / $3,073.00	Facility		$1,855.04	$1,855.04	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.56 / $1,855.04 / $4,962.39	Professional		$1,494.56	$1,855.04	$4,962.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,773.63 / $3,963.28 / $4,954.10	Professional		$3,773.63	$3,963.28	$4,954.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,684.56 / $2,874.27 / $4,490.82	Facility		$1,684.56	$2,874.27	$4,490.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,123.23 / $3,538.72 / $12,841.28	Professional		$2,123.23	$3,538.72	$12,841.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,782.00 / $4,376.03 / $5,415.44	Facility		$2,782.00	$4,376.03	$5,415.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,322.00 / $3,773.63 / $4,689.87	Professional		$2,322.00	$3,773.63	$4,689.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,941.53 / $2,860.39 / $3,354.18	Professional		$1,941.53	$2,860.39	$3,354.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,123.23 / $3,097.73 / $4,818.68	Professional		$2,123.23	$3,097.73	$4,818.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,195.30 / $3,759.10 / $3,909.50	Professional		$3,195.30	$3,759.10	$3,909.50