Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.65 / $1,453.65 / $1,453.65	Facility		$1,453.65	$1,453.65	$1,453.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.69 / $1,453.65 / $1,453.65	Professional		$1,339.69	$1,453.65	$1,453.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.27 / $2,954.35 / $3,692.93	Professional		$2,786.27	$2,954.35	$3,692.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,795.18 / $2,456.67 / $3,885.68	Facility		$1,795.18	$2,456.67	$3,885.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,529.78 / $2,819.51 / $10,231.20	Professional		$1,529.78	$2,819.51	$10,231.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $3,393.52 / $4,435.16	Facility		$2,687.00	$3,393.52	$4,435.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,504.46 / $3,089.50 / $3,845.94	Professional		$2,504.46	$3,089.50	$3,845.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,831.51 / $2,408.61 / $2,746.09	Professional		$1,831.51	$2,408.61	$2,746.09
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 $1,668.85 / $3,681.65 / $3,846.50	Professional		$1,668.85	$3,681.65	$3,846.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,832.50 / $3,332.30 / $3,465.60	Professional		$2,832.50	$3,332.30	$3,465.60