Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.49 / $1,071.49 / $1,071.49	Facility		$1,071.49	$1,071.49	$1,071.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.93 / $1,071.49 / $2,553.10	Professional		$901.93	$1,071.49	$2,553.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.12 / $2,433.13 / $3,041.41	Professional		$1,869.12	$2,433.13	$3,041.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,374.06 / $1,803.86 / $2,934.43	Facility		$1,374.06	$1,803.86	$2,934.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,117.30 / $2,313.15 / $8,063.68	Professional		$1,117.30	$2,313.15	$8,063.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,704.56 / $2,676.02 / $9,202.58	Facility		$1,704.56	$2,676.02	$9,202.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,704.56 / $2,309.86 / $2,914.27	Professional		$1,704.56	$2,309.86	$2,914.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,339.90 / $1,844.05 / $2,102.42	Professional		$1,339.90	$1,844.05	$2,102.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,117.30 / $1,942.31 / $3,021.37	Professional		$1,117.30	$1,942.31	$3,021.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,085.69 / $2,551.90 / $2,551.90	Professional		$2,085.69	$2,551.90	$2,551.90