Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.73 / $1,402.73 / $1,402.73	Facility		$1,402.73	$1,402.73	$1,402.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.49 / $1,402.73 / $4,082.76	Professional		$1,085.49	$1,402.73	$4,082.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,068.52 / $3,128.87 / $3,911.08	Professional		$3,068.52	$3,128.87	$3,911.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,552.25 / $2,000.00 / $3,729.46	Facility		$1,552.25	$2,000.00	$3,729.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,616.27 / $2,740.07 / $9,699.04	Professional		$1,616.27	$2,740.07	$9,699.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,103.51 / $3,216.23 / $4,341.34	Facility		$2,103.51	$3,216.23	$4,341.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,233.00 / $3,068.52 / $3,789.12	Professional		$2,233.00	$3,068.52	$3,789.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,654.50 / $2,405.51 / $2,824.37	Professional		$1,654.50	$2,405.51	$2,824.37
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 $1,743.07 / $2,442.26 / $3,799.07	Professional		$1,743.07	$2,442.26	$3,799.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,690.50 / $3,165.30 / $3,292.00	Professional		$2,690.50	$3,165.30	$3,292.00