Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $4,365.16	Facility		$1,513.56	$1,513.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $4,570.88	Professional		$1,412.54	$1,621.81	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,466.84	Professional		$3,548.13	$3,548.13	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $4,265.80	Facility		$1,862.09	$2,187.76	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $13,803.84	Professional		$1,445.44	$2,754.23	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,548.13 / $3,715.35	Professional		$3,467.37	$3,548.13	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $3,311.31	Professional		$1,905.46	$2,884.03	$3,311.31
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 $1,698.24 / $3,019.95 / $4,265.80	Professional		$1,698.24	$3,019.95	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $3,981.07	Professional		$3,235.94	$3,801.89	$3,981.07