Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.43 / $1,473.43 / $1,473.43	Facility		$1,473.43	$1,473.43	$1,473.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.83 / $1,473.43 / $1,473.43	Professional		$1,360.83	$1,473.43	$1,473.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,865.62 / $3,038.49 / $3,798.11	Professional		$2,865.62	$3,038.49	$3,798.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,757.11 / $2,405.09 / $3,879.67	Facility		$1,757.11	$2,405.09	$3,879.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,529.11 / $2,802.16 / $13,636.00	Professional		$1,529.11	$2,802.16	$13,636.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,346.00 / $3,418.72 / $4,445.60	Facility		$2,346.00	$3,418.72	$4,445.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,296.00 / $3,118.61 / $3,859.59	Professional		$2,296.00	$3,118.61	$3,859.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,798.18 / $2,431.31 / $2,771.97	Professional		$1,798.18	$2,431.31	$2,771.97
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 $1,668.12 / $2,847.71 / $3,871.34	Professional		$1,668.12	$2,847.71	$3,871.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $3,363.70 / $3,498.30	Professional		$2,859.20	$3,363.70	$3,498.30