Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.86 / $1,378.86 / $1,378.86	Facility		$1,378.86	$1,378.86	$1,378.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.39 / $1,378.86 / $4,223.16	Professional		$1,241.39	$1,378.86	$4,223.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,181.21 / $3,255.08 / $4,068.85	Professional		$3,181.21	$3,255.08	$4,068.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,775.19 / $2,097.94 / $3,925.61	Facility		$1,775.19	$2,097.94	$3,925.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,746.55 / $2,910.92 / $10,849.84	Professional		$1,746.55	$2,910.92	$10,849.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,282.42 / $3,604.96 / $4,461.22	Facility		$2,282.42	$3,604.96	$4,461.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.00 / $3,181.21 / $3,865.99	Professional		$2,511.00	$3,181.21	$3,865.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,834.10 / $2,443.21 / $2,827.60	Professional		$1,834.10	$2,443.21	$2,827.60
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 $1,746.55 / $2,620.58 / $4,076.46	Professional		$1,746.55	$2,620.58	$4,076.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,805.10 / $3,300.10 / $3,432.10	Professional		$2,805.10	$3,300.10	$3,432.10