Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $2,736.00 / $3,420.00	Facility		$2,736.00	$2,736.00	$3,420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $2,072.52 / $2,565.00	Professional		$2,052.00	$2,072.52	$2,565.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,314.09 / $3,413.51	Facility		$1,961.00	$3,314.09	$3,413.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $6,720.00	Professional		$1,961.00	$1,961.00	$6,720.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,332.37 / $2,416.80 / $2,615.23	Facility		$2,332.37	$2,416.80	$2,615.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,332.37 / $2,353.19 / $2,416.80	Professional		$2,332.37	$2,353.19	$2,416.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,146.00 / $2,146.00 / $2,146.00	Professional		$2,146.00	$2,146.00	$2,146.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,157.10	Professional		$1,961.00	$1,961.00	$2,157.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00