Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.39 / $1,766.39 / $3,511.00	Facility		$1,766.39	$1,766.39	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.40 / $1,766.39 / $1,766.39	Professional		$1,633.40	$1,766.39	$1,766.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,435.81 / $3,643.07 / $4,553.84	Professional		$3,435.81	$3,643.07	$4,553.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,704.56 / $2,760.45 / $4,475.52	Facility		$1,704.56	$2,760.45	$4,475.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,885.50 / $3,142.50 / $12,370.72	Professional		$1,885.50	$3,142.50	$12,370.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,264.50 / $4,101.42 / $5,361.22	Facility		$3,264.50	$4,101.42	$5,361.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,034.46 / $3,767.06 / $5,039.89	Professional		$3,034.46	$3,767.06	$5,039.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,164.51 / $2,846.28 / $3,348.35	Professional		$2,164.51	$2,846.28	$3,348.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,885.50 / $3,142.50 / $4,625.38	Professional		$1,885.50	$3,142.50	$4,625.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,453.70 / $4,063.20 / $4,225.70	Professional		$3,453.70	$4,063.20	$4,225.70