Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,061.09 / $2,061.09 / $2,061.09	Facility		$2,061.09	$2,061.09	$2,061.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.41 / $2,061.09 / $2,061.09	Professional		$1,908.41	$2,061.09	$2,061.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,999.38 / $4,240.64 / $5,300.80	Professional		$3,999.38	$4,240.64	$5,300.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,225.21 / $5,496.96	Facility		$2,000.00	$3,225.21	$5,496.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,151.51 / $3,965.88 / $22,159.00	Professional		$2,151.51	$3,965.88	$22,159.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,077.00 / $4,587.99 / $6,269.53	Facility		$3,077.00	$4,587.99	$6,269.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,218.00 / $4,403.16 / $5,455.16	Professional		$3,218.00	$4,403.16	$5,455.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,579.67 / $3,432.77 / $3,913.75	Professional		$2,579.67	$3,432.77	$3,913.75
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 $2,347.10 / $3,911.84 / $5,457.03	Professional		$2,347.10	$3,911.84	$5,457.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,036.90 / $4,749.30 / $4,939.20	Professional		$4,036.90	$4,749.30	$4,939.20