Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,621.81	Professional		$1,202.26	$1,548.82	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,630.78	Professional		$2,951.21	$2,951.21	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,467.37	Facility		$1,698.24	$2,187.76	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $11,481.54	Professional		$1,230.27	$2,344.23	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,090.30	Professional		$2,951.21	$2,951.21	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,630.27	Professional		$1,621.81	$2,238.72	$2,630.27
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 $1,318.26 / $2,398.83 / $3,548.13	Professional		$1,318.26	$2,398.83	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,311.31	Professional		$2,691.53	$3,162.28	$3,311.31