Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $1,802.25 / $7,504.64	Facility		$47.11	$1,802.25	$7,504.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,521.46 / $6,521.46 / $6,521.46	Facility	50	$6,521.46	$6,521.46	$6,521.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $707.59 / $4,488.00	Professional		$554.91	$707.59	$4,488.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.73 / $1,435.88 / $1,794.85	Professional		$1,423.73	$1,435.88	$1,794.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.93 / $1,034.99 / $3,077.93	Facility		$656.93	$1,034.99	$3,077.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.15 / $1,243.90 / $4,805.92	Professional		$684.15	$1,243.90	$4,805.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $966.83 / $1,751.79 / $2,691.59	Facility		$966.83	$1,751.79	$2,691.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $966.83 / $1,456.31 / $1,777.47	Professional		$966.83	$1,456.31	$1,777.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.31 / $1,100.34 / $1,294.45	Professional		$707.31	$1,100.34	$1,294.45
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $242.71 / $242.71 / $242.71	Professional	80	$242.71	$242.71	$242.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $242.71 / $242.71 / $242.71	Professional	AS	$242.71	$242.71	$242.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.34 / $1,243.90 / $1,771.48	Professional		$746.34	$1,243.90	$1,771.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,186.30 / $1,395.70 / $1,451.50	Professional		$1,186.30	$1,395.70	$1,451.50