Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,177.26 / $2,177.26 / $2,177.26	Facility		$2,177.26	$2,177.26	$2,177.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.40 / $2,177.26 / $2,177.26	Professional		$2,015.40	$2,177.26	$2,177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,241.12 / $4,496.97 / $5,621.21	Professional		$4,241.12	$4,496.97	$5,621.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,099.82 / $3,406.03 / $5,538.08	Facility		$2,099.82	$3,406.03	$5,538.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,224.08 / $4,138.80 / $15,249.36	Professional		$2,224.08	$4,138.80	$15,249.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,515.00 / $4,748.53 / $6,596.96	Facility		$2,515.00	$4,748.53	$6,596.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,421.00 / $4,641.89 / $5,715.61	Professional		$2,421.00	$4,641.89	$5,715.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,227.60 / $3,572.87 / $4,125.93	Professional		$2,227.60	$3,572.87	$4,125.93
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 $2,224.08 / $4,043.78 / $5,696.40	Professional		$2,224.08	$4,043.78	$5,696.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,255.70 / $5,006.70 / $5,207.00	Professional		$4,255.70	$5,006.70	$5,207.00