Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,936.68 / $1,936.68 / $1,936.68	Facility		$1,936.68	$1,936.68	$1,936.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.85 / $1,936.68 / $6,301.70	Professional		$1,656.85	$1,936.68	$6,301.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,151.59 / $4,446.32 / $5,557.90	Professional		$4,151.59	$4,446.32	$5,557.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,171.92 / $3,272.99 / $5,516.94	Facility		$2,171.92	$3,272.99	$5,516.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,370.46 / $4,145.47 / $15,158.08	Professional		$2,370.46	$4,145.47	$15,158.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,060.63 / $4,772.95 / $6,645.97	Facility		$3,060.63	$4,772.95	$6,645.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,987.00 / $4,151.59 / $5,814.00	Professional		$2,987.00	$4,151.59	$5,814.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,715.60 / $4,241.08	Professional		$2,623.95	$3,715.60	$4,241.08
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 $2,370.46 / $4,167.35 / $5,534.06	Professional		$2,370.46	$4,167.35	$5,534.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,207.30 / $4,949.80 / $5,147.80	Professional		$4,207.30	$4,949.80	$5,147.80