Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,625.24 / $3,625.24 / $3,625.24	Facility		$3,625.24	$3,625.24	$3,625.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,008.95 / $3,625.24 / $3,625.24	Professional		$3,008.95	$3,625.24	$3,625.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,367.00 / $2,390.67 / $2,958.75	Professional		$2,367.00	$2,390.67	$2,958.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.35 / $4,147.27 / $8,939.85	Facility		$1,319.35	$4,147.27	$8,939.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.46 / $3,021.04 / $3,323.14	Professional		$1,099.46	$3,021.04	$3,323.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,319.35 / $1,550.68 / $4,860.00	Facility		$1,319.35	$1,550.68	$4,860.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,319.35 / $2,087.09 / $3,095.51	Professional		$1,319.35	$2,087.09	$3,095.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Facility		$3,021.04	$3,021.04	$3,021.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04