Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $1,360.00 / $1,360.00	Facility		$1,360.00	$1,360.00	$1,360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.88 / $1,360.00 / $1,487.32	Professional		$1,231.88	$1,360.00	$1,487.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,360.19 / $3,246.51 / $4,058.14	Professional		$2,360.19	$3,246.51	$4,058.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,500.16 / $2,286.64 / $4,190.63	Facility		$1,500.16	$2,286.64	$4,190.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,624.40 / $2,953.46 / $10,974.56	Professional		$1,624.40	$2,953.46	$10,974.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,306.38 / $3,405.82 / $4,740.72	Facility		$2,306.38	$3,405.82	$4,740.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,085.00 / $3,339.86 / $4,082.17	Professional		$2,085.00	$3,339.86	$4,082.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,794.12 / $2,558.67 / $2,968.62	Professional		$1,794.12	$2,558.67	$2,968.62
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 $1,624.40 / $2,953.46 / $4,091.08	Professional		$1,624.40	$2,953.46	$4,091.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,945.00 / $3,603.30 / $3,603.30	Professional		$2,945.00	$3,603.30	$3,603.30