Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.92 / $1,657.92 / $1,657.92	Facility		$1,657.92	$1,657.92	$1,657.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.05 / $1,657.92 / $1,797.68	Professional		$1,494.05	$1,657.92	$1,797.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,871.08 / $3,949.26 / $4,936.57	Professional		$2,871.08	$3,949.26	$4,936.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,734.31 / $2,801.88 / $4,823.24	Facility		$1,734.31	$2,801.88	$4,823.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,081.34 / $3,459.80 / $13,170.48	Professional		$2,081.34	$3,459.80	$13,170.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,845.63 / $4,223.78 / $5,470.71	Facility		$2,845.63	$4,223.78	$5,470.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,673.00 / $3,867.50 / $4,745.12	Professional		$2,673.00	$3,867.50	$4,745.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,037.84 / $3,015.16 / $3,437.63	Professional		$2,037.84	$3,015.16	$3,437.63
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 $2,009.93 / $3,229.77 / $4,987.39	Professional		$2,009.93	$3,229.77	$4,987.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,410.30 / $4,172.60 / $4,172.60	Professional		$3,410.30	$4,172.60	$4,172.60