Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.68 / $1,166.68 / $1,166.68	Facility		$1,166.68	$1,166.68	$1,166.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.72 / $1,166.68 / $1,252.08	Professional		$1,059.72	$1,166.68	$1,252.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.70 / $2,812.55 / $3,515.69	Professional		$2,044.70	$2,812.55	$3,515.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,231.11 / $1,790.93 / $3,313.32	Facility		$1,231.11	$1,790.93	$3,313.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,338.57 / $2,433.76 / $9,363.76	Professional		$1,338.57	$2,433.76	$9,363.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,889.86 / $2,854.67 / $4,001.36	Facility		$1,889.86	$2,854.67	$4,001.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $2,852.96 / $3,448.85	Professional		$1,656.00	$2,852.96	$3,448.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,396.27 / $2,138.62 / $2,535.85	Professional		$1,396.27	$2,138.62	$2,535.85
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 $1,338.57 / $2,348.23 / $3,449.94	Professional		$1,338.57	$2,348.23	$3,449.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,515.69 / $3,078.00 / $3,078.00	Professional		$2,515.69	$3,078.00	$3,078.00