Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $4,897.79	Facility		$537.03	$616.60	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility	50	$5,888.44	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $5,623.41	Professional		$501.19	$602.56	$5,623.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $2,041.74 / $2,137.96	Professional	50	$954.99	$2,041.74	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,819.70	Professional		$1,148.15	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,584.89	Facility		$575.44	$891.25	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,202.26 / $4,677.35	Professional		$537.03	$1,202.26	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,412.54	Professional		$1,202.26	$1,258.93	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Professional		$1,122.02	$1,122.02	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,202.26	Professional		$741.31	$1,023.29	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $1,659.59	Professional		$549.54	$1,047.13	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,348.96	Professional		$977.24	$1,096.48	$1,348.96