Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.95 / $1,458.95 / $1,458.95	Facility		$1,458.95	$1,458.95	$1,458.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.93 / $1,458.95 / $1,597.52	Professional		$1,320.93	$1,458.95	$1,597.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,530.11 / $3,480.24 / $4,350.30	Professional		$2,530.11	$3,480.24	$4,350.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,586.16 / $2,465.63 / $4,255.70	Facility		$1,586.16	$2,465.63	$4,255.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,815.06 / $3,098.20 / $11,765.92	Professional		$1,815.06	$3,098.20	$11,765.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,419.02 / $3,651.47 / $5,086.93	Facility		$2,419.02	$3,651.47	$5,086.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,345.00 / $3,580.02 / $4,377.60	Professional		$2,345.00	$3,580.02	$4,377.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,025.42 / $2,745.51 / $3,182.10	Professional		$2,025.42	$2,745.51	$3,182.10
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 $1,654.91 / $2,824.99 / $4,394.43	Professional		$1,654.91	$2,824.99	$4,394.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,156.80 / $3,862.40 / $3,862.40	Professional		$3,156.80	$3,862.40	$3,862.40