Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.61 / $2,076.61 / $2,076.61	Facility		$2,076.61	$2,076.61	$2,076.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.24 / $2,076.61 / $6,013.59	Professional		$1,744.24	$2,076.61	$6,013.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,635.34 / $4,759.52 / $5,949.40	Professional		$4,635.34	$4,759.52	$5,949.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,494.26 / $3,509.47 / $5,677.20	Facility		$2,494.26	$3,509.47	$5,677.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,523.12 / $4,205.20 / $17,855.03	Professional		$2,523.12	$4,205.20	$17,855.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,262.57 / $5,243.80 / $6,597.99	Facility		$3,262.57	$5,243.80	$6,597.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,289.00 / $4,635.34 / $5,735.93	Professional		$3,289.00	$4,635.34	$5,735.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,640.23 / $3,586.22 / $4,120.10	Professional		$2,640.23	$3,586.22	$4,120.10
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 $2,762.59 / $5,614.63 / $5,866.03	Professional		$2,762.59	$5,614.63	$5,866.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,015.30 / $4,723.89 / $4,912.80	Professional		$4,015.30	$4,723.89	$4,912.80