Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,365.16	Facility		$2,398.83	$2,398.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $2,818.38	Professional		$2,089.30	$2,691.53	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,309.57	Professional		$5,011.87	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $6,165.95	Facility		$2,951.21	$3,388.44	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $25,118.86	Professional		$2,187.76	$4,168.69	$25,118.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,370.32	Professional		$5,248.07	$5,248.07	$5,370.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,365.16 / $4,677.35	Professional		$3,235.94	$4,365.16	$4,677.35
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 $2,691.53 / $4,677.35 / $6,456.54	Professional		$2,691.53	$4,677.35	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $5,888.44	Professional		$4,786.30	$5,623.41	$5,888.44