Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.92 / $1,735.92 / $1,735.92	Facility		$1,735.92	$1,735.92	$1,735.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.63 / $1,735.92 / $5,190.10	Professional		$1,426.63	$1,735.92	$5,190.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,745.43 / $3,783.37 / $4,682.39	Professional		$3,745.43	$3,783.37	$4,682.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,608.94 / $4,737.78	Facility		$2,000.00	$2,608.94	$4,737.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,890.32 / $3,436.94 / $15,161.85	Professional		$1,890.32	$3,436.94	$15,161.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,690.37 / $4,231.43 / $5,495.74	Facility		$2,690.37	$4,231.43	$5,495.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,131.82 / $3,869.69 / $4,739.10	Professional		$3,131.82	$3,869.69	$4,739.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,197.46 / $3,016.87 / $3,439.57	Professional		$2,197.46	$3,016.87	$3,439.57
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 $2,286.13 / $3,801.52 / $4,783.18	Professional		$2,286.13	$3,801.52	$4,783.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,276.60 / $3,854.80 / $4,009.00	Professional		$3,276.60	$3,854.80	$4,009.00