Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.44 / $1,571.44 / $1,571.44	Facility		$1,571.44	$1,571.44	$1,571.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.91 / $1,571.44 / $5,069.43	Professional		$1,456.91	$1,571.44	$5,069.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,824.57 / $3,907.19 / $4,883.97	Professional		$3,824.57	$3,907.19	$4,883.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,462.17 / $4,726.45	Facility		$2,000.00	$2,462.17	$4,726.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,110.52 / $3,517.54 / $13,038.08	Professional		$2,110.52	$3,517.54	$13,038.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,760.32 / $4,332.37 / $5,354.94	Facility		$2,760.32	$4,332.37	$5,354.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $3,824.57 / $4,643.03	Professional		$2,924.00	$3,824.57	$4,643.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,199.96 / $2,937.55 / $3,399.46	Professional		$2,199.96	$2,937.55	$3,399.46
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 $2,110.52 / $3,152.65 / $4,904.12	Professional		$2,110.52	$3,152.65	$4,904.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,313.00 / $3,897.60 / $4,053.50	Professional		$3,313.00	$3,897.60	$4,053.50