Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $91.40 / $495.67	Facility		$51.21	$91.40	$495.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,795.63 / $2,795.63 / $2,795.63	Facility	50	$2,795.63	$2,795.63	$2,795.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $75.70 / $304.38	Professional		$48.89	$75.70	$304.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.05 / $314.32 / $314.32	Professional	50	$108.05	$314.32	$314.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $144.13 / $258.08	Professional		$106.56	$144.13	$258.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $119.59 / $208.73	Facility		$72.75	$119.59	$208.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $186.60 / $671.04	Professional		$87.14	$186.60	$671.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.19 / $128.34 / $215.17	Facility		$110.19	$128.34	$215.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $141.15 / $215.17	Professional		$110.19	$141.15	$215.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $121.99 / $174.66	Professional		$85.78	$121.99	$174.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $151.40 / $235.51	Professional		$73.63	$151.40	$235.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $122.50 / $212.00	Professional		$100.10	$122.50	$212.00