Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.41 / $1,574.41 / $1,574.41	Facility		$1,574.41	$1,574.41	$1,574.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.51 / $1,574.41 / $1,574.41	Professional		$1,453.51	$1,574.41	$1,574.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,057.40 / $3,241.84 / $4,052.29	Professional		$3,057.40	$3,241.84	$4,052.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,742.43 / $2,456.42 / $4,151.51	Facility		$1,742.43	$2,456.42	$4,151.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,649.89 / $3,013.80 / $12,147.11	Professional		$1,649.89	$3,013.80	$12,147.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,671.00 / $3,494.80 / $4,768.88	Facility		$2,671.00	$3,494.80	$4,768.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,097.00 / $3,338.39 / $4,145.54	Professional		$2,097.00	$3,338.39	$4,145.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,725.13 / $2,602.66 / $2,967.33	Professional		$1,725.13	$2,602.66	$2,967.33
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 $1,799.88 / $3,038.48 / $4,154.60	Professional		$1,799.88	$3,038.48	$4,154.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,060.70 / $3,600.80 / $3,744.80	Professional		$3,060.70	$3,600.80	$3,744.80