Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,344.23	Professional		$1,698.24	$2,187.76	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,248.07	Professional		$4,168.69	$4,168.69	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $5,011.87	Facility		$2,454.71	$2,818.38	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $21,379.62	Professional		$1,737.80	$3,388.44	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,365.16	Professional		$4,265.80	$4,265.80	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $3,801.89	Professional		$2,570.40	$3,388.44	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $5,248.07	Professional		$2,089.30	$3,801.89	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,786.30	Professional		$3,890.45	$4,570.88	$4,786.30