Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,301.65 / $2,301.65 / $2,301.65	Facility		$2,301.65	$2,301.65	$2,301.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.54 / $2,081.28 / $2,301.65	Professional		$1,640.54	$2,081.28	$2,301.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,881.64 / $4,881.64 / $4,881.64	Facility		$4,881.64	$4,881.64	$4,881.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,441.93 / $4,447.53 / $5,559.41	Professional		$3,441.93	$4,447.53	$5,559.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,310.94 / $2,772.51 / $29,779.49	Facility		$2,310.94	$2,772.51	$29,779.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,248.77 / $1,469.14 / $4,489.68	Professional		$1,248.77	$1,469.14	$4,489.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,159.70 / $4,489.68 / $6,268.31	Facility		$3,159.70	$4,489.68	$6,268.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $4,489.68 / $5,366.23	Professional		$2,938.27	$4,489.68	$5,366.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,501.44 / $5,899.32 / $6,726.68	Professional		$3,501.44	$5,899.32	$6,726.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,248.77 / $2,448.56	Professional		$1,028.40	$1,248.77	$2,448.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Professional		$2,448.56	$2,448.56	$2,448.56