Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.50 / $1,152.50 / $1,152.50	Facility		$1,152.50	$1,152.50	$1,152.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.83 / $1,152.50 / $3,714.34	Professional		$1,057.83	$1,152.50	$3,714.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,760.00 / $2,787.95 / $3,450.44	Professional		$2,760.00	$2,787.95	$3,450.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.70 / $1,947.73 / $3,088.86	Facility		$1,512.70	$1,947.73	$3,088.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,378.55 / $2,397.56 / $9,303.68	Professional		$1,378.55	$2,397.56	$9,303.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,801.26 / $3,084.11 / $3,865.78	Facility		$1,801.26	$3,084.11	$3,865.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,001.00 / $2,831.13 / $3,343.56	Professional		$2,001.00	$2,831.13	$3,343.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,452.95 / $2,017.47 / $2,516.44	Professional		$1,452.95	$2,017.47	$2,516.44
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 $1,263.67 / $2,297.58 / $3,363.70	Professional		$1,263.67	$2,297.58	$3,363.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,496.40 / $2,936.90 / $3,054.40	Professional		$2,496.40	$2,936.90	$3,054.40