Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.12 / $1,619.12 / $1,619.12	Facility		$1,619.12	$1,619.12	$1,619.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.46 / $1,619.12 / $1,774.62	Professional		$1,466.46	$1,619.12	$1,774.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,809.34 / $3,864.34 / $4,830.42	Professional		$2,809.34	$3,864.34	$4,830.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,763.44 / $2,736.31 / $4,738.64	Facility		$1,763.44	$2,736.31	$4,738.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,019.44 / $3,451.98 / $13,073.44	Professional		$2,019.44	$3,451.98	$13,073.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,696.78 / $4,059.50 / $5,653.20	Facility		$2,696.78	$4,059.50	$5,653.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,606.00 / $3,980.32 / $4,865.22	Professional		$2,606.00	$3,980.32	$4,865.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,197.96 / $3,057.07 / $3,537.90	Professional		$2,197.96	$3,057.07	$3,537.90
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 $1,898.59 / $3,137.38 / $4,880.37	Professional		$1,898.59	$3,137.38	$4,880.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,509.70 / $4,294.30 / $4,294.30	Professional		$3,509.70	$4,294.30	$4,294.30