Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.19 / $1,203.19 / $1,203.19	Facility		$1,203.19	$1,203.19	$1,203.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.75 / $1,203.19 / $3,680.51	Professional		$1,083.75	$1,203.19	$3,680.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,778.01 / $2,843.72 / $3,554.64	Professional		$2,778.01	$2,843.72	$3,554.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.76 / $1,831.54 / $3,426.76	Facility		$1,549.76	$1,831.54	$3,426.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,524.92 / $2,541.54 / $10,527.44	Professional		$1,524.92	$2,541.54	$10,527.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,992.36 / $3,146.24 / $3,886.64	Facility		$1,992.36	$3,146.24	$3,886.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,149.00 / $2,778.01 / $3,369.98	Professional		$2,149.00	$2,778.01	$3,369.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,599.28 / $2,131.65 / $2,469.21	Professional		$1,599.28	$2,131.65	$2,469.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.37 / $3,407.81 / $3,560.40	Professional		$1,641.37	$3,407.81	$3,560.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,449.60 / $2,881.80 / $2,997.10	Professional		$2,449.60	$2,881.80	$2,997.10