Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $1,000.00 / $1,174.90	Facility		$33.88	$1,000.00	$1,174.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	50	$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $181.97	Professional		$33.88	$74.13	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $114.82 / $190.55	Professional	50	$46.77	$114.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $158.49	Professional		$70.79	$102.33	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $120.23	Facility		$50.12	$79.43	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $398.11	Professional		$52.48	$95.50	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $112.20	Professional		$81.28	$83.18	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $107.15	Professional		$74.13	$79.43	$107.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $104.71	Professional		$57.54	$74.13	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $134.90	Professional		$41.69	$74.13	$134.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $125.89	Professional		$69.18	$83.18	$125.89