Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,808.10 / $3,808.10 / $3,808.10	Facility		$3,808.10	$3,808.10	$3,808.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,531.04 / $3,808.10 / $4,488.63	Professional		$3,531.04	$3,808.10	$4,488.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $4,976.55	Facility		$2,941.06	$2,941.06	$4,976.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,270.63 / $5,323.33 / $6,588.28	Professional		$5,270.63	$5,323.33	$6,588.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,091.72 / $7,585.78 / $21,171.57	Facility		$3,091.72	$7,585.78	$21,171.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,831.13 / $3,057.43 / $5,171.64	Professional		$1,831.13	$3,057.43	$5,171.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,137.93 / $4,976.55 / $7,794.13	Facility		$4,137.93	$4,976.55	$7,794.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,075.85 / $5,046.62 / $9,510.12	Professional		$4,075.85	$5,046.62	$9,510.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,833.98 / $4,488.63 / $5,335.45	Professional		$3,833.98	$4,488.63	$5,335.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,586.52 / $3,052.92 / $4,546.46	Professional		$1,586.52	$3,052.92	$4,546.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,433.66 / $4,433.66 / $4,433.66	Professional		$4,433.66	$4,433.66	$4,433.66