Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,390.19 / $2,390.19 / $2,390.19	Facility		$2,390.19	$2,390.19	$2,390.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.30 / $2,390.19 / $7,852.24	Professional		$2,044.30	$2,390.19	$7,852.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,478.71 / $5,534.20 / $6,849.26	Professional		$5,478.71	$5,534.20	$6,849.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,686.34 / $3,454.87 / $6,844.93	Facility		$2,686.34	$3,454.87	$6,844.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,960.82 / $5,149.64 / $18,732.72	Professional		$2,960.82	$5,149.64	$18,732.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,824.37 / $6,195.68 / $8,230.03	Facility		$3,824.37	$6,195.68	$8,230.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,096.00 / $5,718.46 / $7,196.34	Professional		$3,096.00	$5,718.46	$7,196.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,258.16 / $4,598.78 / $5,243.12	Professional		$3,258.16	$4,598.78	$5,243.12
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 $3,321.02 / $6,560.24 / $6,853.98	Professional		$3,321.02	$6,560.24	$6,853.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,201.39 / $6,119.30 / $6,364.00	Professional		$5,201.39	$6,119.30	$6,364.00