Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,770.64 / $2,770.64 / $2,770.64	Facility		$2,770.64	$2,770.64	$2,770.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,167.19 / $2,770.64 / $2,918.11	Professional		$2,167.19	$2,770.64	$2,918.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,054.39	Facility		$2,084.13	$2,084.13	$3,054.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,809.01 / $3,834.75 / $4,793.43	Professional		$3,809.01	$3,834.75	$4,793.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,524.98 / $3,545.91 / $14,469.30	Facility		$2,524.98	$3,545.91	$14,469.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,987.66 / $3,269.19	Professional		$1,190.44	$1,987.66	$3,269.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,539.67 / $3,054.39 / $5,285.97	Facility		$2,539.67	$3,054.39	$5,285.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,547.14 / $3,097.37 / $5,836.88	Professional		$2,547.14	$3,097.37	$5,836.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,492.51 / $2,918.11 / $3,468.63	Professional		$2,492.51	$2,918.11	$3,468.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.98 / $1,904.70 / $2,484.58	Professional		$1,075.98	$1,904.70	$2,484.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,721.19 / $2,721.19 / $2,721.19	Professional		$2,721.19	$2,721.19	$2,721.19