Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.19 / $1,062.19 / $1,062.19	Facility		$1,062.19	$1,062.19	$1,062.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.08 / $1,062.19 / $3,242.41	Professional		$957.08	$1,062.19	$3,242.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,452.67 / $2,510.26 / $3,137.83	Professional		$2,452.67	$2,510.26	$3,137.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,368.62 / $1,795.10 / $3,019.23	Facility		$1,368.62	$1,795.10	$3,019.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,346.77 / $2,244.62 / $8,473.45	Professional		$1,346.77	$2,244.62	$8,473.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,759.53 / $2,778.69 / $3,429.88	Facility		$1,759.53	$2,778.69	$3,429.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,047.00 / $2,452.67 / $2,974.86	Professional		$2,047.00	$2,452.67	$2,974.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,411.15 / $1,878.11 / $2,180.05	Professional		$1,411.15	$1,878.11	$2,180.05
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 $1,346.77 / $2,342.46 / $3,138.49	Professional		$1,346.77	$2,342.46	$3,138.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,162.69 / $2,544.40 / $2,646.10	Professional		$2,162.69	$2,544.40	$2,646.10