Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.36 / $1,469.36 / $4,338.00	Facility		$1,469.36	$1,469.36	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.18 / $1,469.36 / $4,316.79	Professional		$1,234.18	$1,469.36	$4,316.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,277.26 / $3,365.71 / $4,207.14	Professional		$3,277.26	$3,365.71	$4,207.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,764.88 / $2,483.21 / $4,149.72	Facility		$1,764.88	$2,483.21	$4,149.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,849.14 / $3,081.90 / $12,853.85	Professional		$1,849.14	$3,081.90	$12,853.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,384.96 / $3,425.90 / $4,666.68	Facility		$2,384.96	$3,425.90	$4,666.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,468.00 / $3,277.26 / $4,058.15	Professional		$2,468.00	$3,277.26	$4,058.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,886.00 / $2,555.00 / $2,912.99	Professional		$1,886.00	$2,555.00	$2,912.99
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 $1,954.68 / $2,681.66 / $4,171.47	Professional		$1,954.68	$2,681.66	$4,171.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,838.90 / $3,339.90 / $3,473.50	Professional		$2,838.90	$3,339.90	$3,473.50