Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,415.39 / $3,415.39 / $3,415.39	Facility		$3,415.39	$3,415.39	$3,415.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,855.36 / $3,415.39 / $3,955.25	Professional		$2,855.36	$3,415.39	$3,955.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,024.27	Facility		$2,637.76	$2,637.76	$4,024.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,727.25 / $4,727.25 / $5,909.06	Professional		$4,727.25	$4,727.25	$5,909.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,902.85 / $4,267.97 / $17,548.22	Facility		$2,902.85	$4,267.97	$17,548.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,613.54 / $2,623.01 / $4,182.02	Professional		$1,613.54	$2,623.01	$4,182.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,346.11 / $4,024.27 / $6,361.74	Facility		$3,346.11	$4,024.27	$6,361.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,452.43 / $4,080.93 / $7,690.32	Professional		$3,452.43	$4,080.93	$7,690.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,378.39 / $3,955.25 / $4,701.45	Professional		$3,378.39	$3,955.25	$4,701.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,294.95 / $2,694.12 / $4,281.49	Professional		$1,294.95	$2,694.12	$4,281.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,585.26 / $3,585.26 / $3,585.26	Professional		$3,585.26	$3,585.26	$3,585.26