Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,365.16	Facility		$1,905.46	$1,905.46	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,630.27	Professional		$1,778.28	$2,041.74	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,623.41	Professional		$4,466.84	$4,466.84	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,370.32	Facility		$2,344.23	$2,754.23	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,467.37 / $14,791.08	Professional		$1,862.09	$3,467.37	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,570.88 / $4,677.35	Professional		$4,365.16	$4,570.88	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $4,168.69	Professional		$2,344.23	$3,630.78	$4,168.69
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 $2,089.30 / $3,715.35 / $5,370.32	Professional		$2,089.30	$3,715.35	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $5,011.87	Professional		$4,168.69	$4,897.79	$5,011.87