Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.29 / $2,376.29 / $2,376.29	Facility		$2,376.29	$2,376.29	$2,376.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,199.03 / $2,376.29 / $2,376.29	Professional		$2,199.03	$2,376.29	$2,376.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,626.88 / $4,905.99 / $6,132.49	Professional		$4,626.88	$4,905.99	$6,132.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,291.94 / $3,716.36 / $6,044.04	Facility		$2,291.94	$3,716.36	$6,044.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,425.78 / $4,520.05 / $16,643.84	Professional		$2,425.78	$4,520.05	$16,643.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,370.00 / $5,183.49 / $7,207.01	Facility		$2,370.00	$5,183.49	$7,207.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,259.00 / $5,066.18 / $6,242.00	Professional		$2,259.00	$5,066.18	$6,242.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,338.56 / $3,898.94 / $4,503.07	Professional		$2,338.56	$3,898.94	$4,503.07
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 $2,425.78 / $4,631.03 / $6,219.11	Professional		$2,425.78	$4,631.03	$6,219.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,644.70 / $5,464.40 / $5,683.00	Professional		$4,644.70	$5,464.40	$5,683.00