Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,365.16	Facility		$2,570.40	$2,570.40	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $4,786.30	Professional		$2,398.83	$2,754.23	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,585.78	Professional		$6,025.60	$6,025.60	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $7,244.36	Facility		$3,162.28	$3,715.35	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $19,952.62	Professional		$2,511.89	$4,677.35	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,025.60 / $6,309.57	Professional		$5,888.44	$6,025.60	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $5,623.41	Professional		$3,311.31	$4,897.79	$5,623.41
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 $2,884.03 / $5,011.87 / $7,244.36	Professional		$2,884.03	$5,011.87	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $6,760.83	Professional		$5,623.41	$6,606.93	$6,760.83