Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.61 / $1,712.61 / $1,712.61	Facility		$1,712.61	$1,712.61	$1,712.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,465.52 / $1,712.61 / $5,522.85	Professional		$1,465.52	$1,712.61	$5,522.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,862.86 / $3,939.91 / $4,924.89	Professional		$3,862.86	$3,939.91	$4,924.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,476.73 / $4,304.99	Facility		$2,000.00	$2,476.73	$4,304.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,097.83 / $3,621.38 / $15,979.56	Professional		$2,097.83	$3,621.38	$15,979.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,702.42 / $4,420.84 / $5,837.80	Facility		$2,702.42	$4,420.84	$5,837.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,609.00 / $3,862.86 / $5,111.41	Professional		$2,609.00	$3,862.86	$5,111.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,382.86 / $3,171.82 / $3,731.32	Professional		$2,382.86	$3,171.82	$3,731.32
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 $2,097.83 / $3,479.69 / $4,856.39	Professional		$2,097.83	$3,479.69	$4,856.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,701.60 / $4,354.80 / $4,529.00	Professional		$3,701.60	$4,354.80	$4,529.00