Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.45 / $1,888.45 / $1,888.45	Facility		$1,888.45	$1,888.45	$1,888.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.39 / $1,888.45 / $6,126.23	Professional		$1,615.39	$1,888.45	$6,126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,337.47 / $4,357.12 / $5,422.54	Professional		$4,337.47	$4,357.12	$5,422.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,110.56 / $3,191.48 / $5,338.11	Facility		$2,110.56	$3,191.48	$5,338.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,317.55 / $4,017.29 / $14,757.04	Professional		$2,317.55	$4,017.29	$14,757.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,988.64 / $4,880.75 / $6,460.34	Facility		$2,988.64	$4,880.75	$6,460.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,173.00 / $4,466.05 / $5,653.06	Professional		$3,173.00	$4,466.05	$5,653.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,632.44 / $3,593.18 / $4,123.34	Professional		$2,632.44	$3,593.18	$4,123.34
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 $2,317.55 / $3,862.58 / $5,373.90	Professional		$2,317.55	$3,862.58	$5,373.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,090.50 / $4,812.39 / $5,004.89	Professional		$4,090.50	$4,812.39	$5,004.89