Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,365.16	Facility		$2,137.96	$2,137.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $4,168.69	Professional		$1,995.26	$2,290.87	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $6,309.57	Professional		$3,715.35	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $6,025.60	Facility		$2,630.27	$3,630.78	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $16,595.87	Professional		$2,089.30	$3,715.35	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,011.87 / $5,248.07	Professional		$4,897.79	$5,011.87	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $4,677.35	Professional		$2,630.27	$3,981.07	$4,677.35
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 $2,398.83 / $3,981.07 / $6,025.60	Professional		$2,398.83	$3,981.07	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,623.41	Professional		$4,570.88	$5,370.32	$5,623.41