Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.70 / $1,290.70 / $1,290.70	Facility		$1,290.70	$1,290.70	$1,290.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.90 / $1,290.70 / $4,034.57	Professional		$1,158.90	$1,290.70	$4,034.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,026.42 / $3,051.77 / $3,783.50	Professional		$3,026.42	$3,051.77	$3,783.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $2,181.28 / $3,633.48	Facility		$1,639.62	$2,181.28	$3,633.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,580.83 / $2,724.05 / $11,296.85	Professional		$1,580.83	$2,724.05	$11,296.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,054.39 / $3,372.20 / $4,380.96	Facility		$2,054.39	$3,372.20	$4,380.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,105.00 / $3,094.58 / $3,775.92	Professional		$2,105.00	$3,094.58	$3,775.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,733.82 / $2,344.59 / $2,750.62	Professional		$1,733.82	$2,344.59	$2,750.62
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 $1,449.10 / $2,425.03 / $3,772.27	Professional		$1,449.10	$2,425.03	$3,772.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,728.70 / $3,210.30 / $3,338.70	Professional		$2,728.70	$3,210.30	$3,338.70