Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $4,365.16	Facility		$2,290.87	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,691.53	Professional		$1,949.84	$2,511.89	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,025.60	Professional		$4,786.30	$4,786.30	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $5,754.40	Facility		$2,818.38	$3,235.94	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $23,442.29	Professional		$2,041.74	$3,890.45	$23,442.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,128.61	Professional		$4,897.79	$4,897.79	$5,128.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,365.16	Professional		$2,818.38	$3,715.35	$4,365.16
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 $2,511.89 / $4,365.16 / $6,025.60	Professional		$2,511.89	$4,365.16	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $5,495.41	Professional		$4,466.84	$5,248.07	$5,495.41