Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.40 / $1,694.40 / $1,694.40	Facility		$1,694.40	$1,694.40	$1,694.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.50 / $1,694.40 / $4,447.88	Professional		$1,449.50	$1,694.40	$4,447.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,997.29 / $3,901.73 / $4,877.17	Professional		$2,997.29	$3,901.73	$4,877.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,082.21 / $2,739.42 / $4,393.16	Facility		$2,082.21	$2,739.42	$4,393.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,684.70 / $3,496.69 / $13,189.76	Professional		$1,684.70	$3,496.69	$13,189.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,578.08 / $3,982.67 / $5,750.19	Facility		$2,578.08	$3,982.67	$5,750.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,578.08 / $3,699.25 / $4,967.93	Professional		$2,578.08	$3,699.25	$4,967.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,098.94 / $2,885.79 / $3,677.63	Professional		$2,098.94	$2,885.79	$3,677.63
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 $1,684.70 / $3,069.05 / $4,774.08	Professional		$1,684.70	$3,069.05	$4,774.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,648.30 / $4,463.89 / $4,463.89	Professional		$3,648.30	$4,463.89	$4,463.89