Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.94 / $1,142.94 / $4,338.00	Facility		$1,142.94	$1,142.94	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.48 / $1,142.94 / $3,269.97	Professional		$958.48	$1,142.94	$3,269.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,531.27 / $2,613.10 / $3,266.38	Professional		$2,531.27	$2,613.10	$3,266.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.63 / $1,931.57 / $3,209.48	Facility		$1,370.63	$1,931.57	$3,209.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,396.44 / $2,327.40 / $9,614.37	Professional		$1,396.44	$2,327.40	$9,614.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,080.36 / $5,269.25	Facility		$1,961.00	$3,080.36	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,787.00 / $2,531.27 / $3,141.79	Professional		$1,787.00	$2,531.27	$3,141.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,436.66 / $1,952.37 / $2,249.92	Professional		$1,436.66	$1,952.37	$2,249.92
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 $1,396.44 / $2,326.14 / $3,202.64	Professional		$1,396.44	$2,326.14	$3,202.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,192.69 / $2,579.60 / $2,682.80	Professional		$2,192.69	$2,579.60	$2,682.80