Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.21 / $1,093.21 / $4,338.00	Facility		$1,093.21	$1,093.21	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.57 / $1,093.21 / $1,633.35	Professional		$1,013.57	$1,093.21	$1,633.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,066.48 / $2,096.39 / $2,583.10	Professional		$2,066.48	$2,096.39	$2,583.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,360.82 / $1,712.93 / $2,514.42	Facility		$1,360.82	$1,712.93	$2,514.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,145.59 / $2,082.90 / $8,672.74	Professional		$1,145.59	$2,082.90	$8,672.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,035.83 / $2,428.73 / $2,724.08	Facility		$2,035.83	$2,428.73	$2,724.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $2,304.32 / $2,724.08	Professional		$1,482.00	$2,304.32	$2,724.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,196.54 / $1,828.79 / $2,088.19	Professional		$1,196.54	$1,828.79	$2,088.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.59 / $1,874.54 / $2,186.96	Professional		$1,145.59	$1,874.54	$2,186.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,153.90 / $2,534.00 / $2,635.30	Professional		$2,153.90	$2,534.00	$2,635.30