Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,365.16	Facility		$1,445.44	$1,445.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,089.30	Professional		$1,380.38	$1,584.89	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,467.37 / $4,265.80	Professional		$3,388.44	$3,467.37	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $3,801.89	Facility		$1,862.09	$2,041.74	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $11,481.54	Professional		$1,412.54	$2,691.53	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $3,548.13	Professional		$3,019.95	$3,388.44	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,090.30	Professional		$1,659.59	$2,570.40	$3,090.30
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 $1,584.89 / $2,754.23 / $4,073.80	Professional		$1,584.89	$2,754.23	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $3,715.35	Professional		$3,019.95	$3,630.78	$3,715.35