Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.08 / $1,450.08 / $1,450.08	Facility		$1,450.08	$1,450.08	$1,450.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.69 / $1,450.08 / $1,450.08	Professional		$1,342.69	$1,450.08	$1,450.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,832.56 / $3,003.43 / $3,754.29	Professional		$2,832.56	$3,003.43	$3,754.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,391.54 / $2,293.21 / $3,627.44	Facility		$1,391.54	$2,293.21	$3,627.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,458.89 / $2,718.04 / $10,119.04	Professional		$1,458.89	$2,718.04	$10,119.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,231.00 / $3,117.93 / $4,363.21	Facility		$2,231.00	$3,117.93	$4,363.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,159.00 / $3,079.31 / $3,771.24	Professional		$2,159.00	$3,079.31	$3,771.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,620.99 / $2,340.53 / $2,737.03	Professional		$1,620.99	$2,340.53	$2,737.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,591.51 / $2,785.15 / $3,758.05	Professional		$1,591.51	$2,785.15	$3,758.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,823.10 / $3,321.30 / $3,454.20	Professional		$2,823.10	$3,321.30	$3,454.20