Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,751.49 / $2,751.49 / $2,751.49	Facility		$2,751.49	$2,751.49	$2,751.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,356.48 / $2,751.49 / $3,626.35	Professional		$2,356.48	$2,751.49	$3,626.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,321.18	Facility		$2,125.02	$2,125.02	$3,321.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,808.13 / $3,808.13 / $4,760.16	Professional		$3,808.13	$3,808.13	$4,760.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,227.48 / $3,771.39 / $14,520.96	Facility		$2,227.48	$3,771.39	$14,520.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,392.67 / $2,203.62 / $3,702.84	Professional		$1,392.67	$2,203.62	$3,702.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,761.50 / $3,321.18 / $5,344.58	Facility		$2,761.50	$3,321.18	$5,344.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,007.07 / $3,367.92 / $6,657.12	Professional		$3,007.07	$3,367.92	$6,657.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,097.46 / $3,626.35 / $4,310.49	Professional		$3,097.46	$3,626.35	$4,310.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.90 / $1,852.57 / $3,087.61	Professional		$1,087.90	$1,852.57	$3,087.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,958.87 / $2,958.87 / $2,958.87	Professional		$2,958.87	$2,958.87	$2,958.87