Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $4,365.16	Facility		$1,148.15	$1,148.15	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,819.70	Professional		$1,122.02	$1,258.93	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,548.13	Professional		$2,691.53	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,162.28	Facility		$1,513.56	$1,949.84	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $9,772.37	Professional		$1,148.15	$2,187.76	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,884.03	Professional		$2,570.40	$2,691.53	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,398.83	Professional		$1,621.81	$2,089.30	$2,398.83
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 $1,348.96 / $2,344.23 / $3,388.44	Professional		$1,348.96	$2,344.23	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $2,884.03	Professional		$2,344.23	$2,754.23	$2,884.03