Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,365.16	Facility		$1,949.84	$1,949.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,290.87	Professional		$1,737.80	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,128.61	Professional		$4,168.69	$4,168.69	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,011.87	Facility		$2,398.83	$3,090.30	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $19,054.61	Professional		$1,737.80	$3,311.31	$19,054.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,365.16	Professional		$4,168.69	$4,168.69	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,715.35	Professional		$2,511.89	$3,235.94	$3,715.35
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 $2,187.76 / $3,801.89 / $5,248.07	Professional		$2,187.76	$3,801.89	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $4,677.35	Professional		$3,801.89	$4,570.88	$4,677.35