Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.54 / $1,264.54 / $3,511.00	Facility		$1,264.54	$1,264.54	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.84 / $1,264.54 / $4,070.30	Professional		$1,172.84	$1,264.54	$4,070.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,074.22 / $3,144.45 / $3,930.56	Professional		$3,074.22	$3,144.45	$3,930.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,677.18 / $2,137.07 / $3,924.18	Facility		$1,677.18	$2,137.07	$3,924.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,687.84 / $2,813.06 / $11,605.00	Professional		$1,687.84	$2,813.06	$11,605.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,558.00 / $3,698.76 / $4,555.17	Facility		$2,558.00	$3,698.76	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,612.90 / $3,074.22 / $3,732.68	Professional		$2,612.90	$3,074.22	$3,732.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,773.55 / $2,359.67 / $2,732.51	Professional		$1,773.55	$2,359.67	$2,732.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.18 / $2,796.82 / $3,942.40	Professional		$1,547.18	$2,796.82	$3,942.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,663.00 / $3,132.90 / $3,258.30	Professional		$2,663.00	$3,132.90	$3,258.30