Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $183.00 / $841.16	Facility		$36.25	$183.00	$841.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $492.10 / $492.10 / $492.10	Facility	50	$492.10	$492.10	$492.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $55.82 / $154.86	Professional		$34.04	$55.82	$154.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.97 / $122.33 / $288.89	Professional	50	$50.97	$122.33	$288.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $102.26 / $156.79	Professional		$74.34	$102.26	$156.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $83.82 / $128.78	Facility		$51.70	$83.82	$128.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $116.57 / $411.20	Professional		$56.90	$116.57	$411.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.38 / $90.94 / $133.80	Facility		$62.38	$90.94	$133.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $99.00 / $133.80	Professional		$76.53	$99.00	$133.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $71.61 / $106.74	Professional		$54.36	$71.61	$106.74
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $93.10 / $144.82	Professional		$54.54	$93.10	$144.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $86.40 / $129.60	Professional		$70.59	$86.40	$129.60