Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.89 / $1,243.89 / $2,290.00	Facility		$1,243.89	$1,243.89	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.53 / $1,243.89 / $3,087.93	Professional		$1,055.53	$1,243.89	$3,087.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.08 / $2,867.87 / $3,584.83	Professional		$2,203.08	$2,867.87	$3,584.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,516.27 / $2,102.17 / $3,683.53	Facility		$1,516.27	$2,102.17	$3,683.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,237.68 / $2,734.52 / $10,045.50	Professional		$1,237.68	$2,734.52	$10,045.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,019.72 / $3,079.46 / $7,260.61	Facility		$2,019.72	$3,079.46	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,019.72 / $2,594.71 / $3,482.87	Professional		$2,019.72	$2,594.71	$3,482.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,604.94 / $2,229.31 / $2,541.67	Professional		$1,604.94	$2,229.31	$2,541.67
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 $1,198.86 / $2,408.98 / $3,554.07	Professional		$1,198.86	$2,408.98	$3,554.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,521.40 / $3,085.10 / $3,085.10	Professional		$2,521.40	$3,085.10	$3,085.10