Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.78 / $1,298.78 / $1,298.78	Facility		$1,298.78	$1,298.78	$1,298.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.68 / $1,298.78 / $1,298.78	Professional		$1,206.68	$1,298.78	$1,298.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,521.01 / $2,673.09 / $3,341.37	Professional		$2,521.01	$2,673.09	$3,341.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,609.38 / $2,039.29 / $3,510.40	Facility		$1,609.38	$2,039.29	$3,510.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,418.11 / $2,546.44 / $13,197.00	Professional		$1,418.11	$2,546.44	$13,197.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,507.00 / $3,066.13 / $4,015.96	Facility		$2,507.00	$3,066.13	$4,015.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,294.00 / $2,811.49 / $3,477.09	Professional		$2,294.00	$2,811.49	$3,477.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,460.60 / $2,191.87 / $2,498.96	Professional		$1,460.60	$2,191.87	$2,498.96
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 $1,418.11 / $2,652.64 / $3,456.85	Professional		$1,418.11	$2,652.64	$3,456.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,577.60 / $3,032.50 / $3,153.80	Professional		$2,577.60	$3,032.50	$3,153.80