Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,951.21	Professional		$1,318.26	$1,584.89	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $4,265.80	Professional		$2,398.83	$3,388.44	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,890.45	Facility		$1,258.93	$1,949.84	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $11,220.18	Professional		$1,380.38	$2,290.87	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $3,715.35	Professional		$3,235.94	$3,467.37	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,019.95	Professional		$1,621.81	$2,398.83	$3,019.95
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 $1,445.44 / $2,344.23 / $3,981.07	Professional		$1,445.44	$2,344.23	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $3,630.78	Professional		$2,951.21	$3,630.78	$3,630.78