Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,365.16	Facility		$3,630.78	$3,630.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $5,011.87	Professional		$3,388.44	$3,890.45	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $10,471.29	Professional		$8,511.38	$8,511.38	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $10,232.93	Facility		$4,365.16	$5,248.07	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $28,183.83	Professional		$3,630.78	$6,606.93	$28,183.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,709.64 / $8,912.51	Professional		$8,317.64	$8,709.64	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $7,943.28	Professional		$4,466.84	$6,918.31	$7,943.28
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 $4,073.80 / $7,079.46 / $10,232.93	Professional		$4,073.80	$7,079.46	$10,232.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,332.54 / $9,549.93	Professional		$7,762.47	$9,332.54	$9,549.93