Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,365.16	Facility		$2,511.89	$2,511.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $5,495.41	Professional		$2,511.89	$2,951.21	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,165.95 / $7,762.47	Professional		$4,365.16	$6,165.95	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $7,413.10	Facility		$2,238.72	$3,548.13	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $20,417.38	Professional		$2,570.40	$4,265.80	$20,417.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,309.57 / $6,760.83	Professional		$6,165.95	$6,309.57	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $5,495.41	Professional		$3,235.94	$4,570.88	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $7,244.36	Professional		$2,691.53	$4,365.16	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $6,760.83	Professional		$5,495.41	$6,760.83	$6,760.83