Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.55 / $3,511.00 / $8,905.29	Facility		$517.55	$3,511.00	$8,905.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,008.80 / $2,008.80 / $2,008.80	Facility	50	$2,008.80	$2,008.80	$2,008.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $632.36 / $4,611.30	Professional		$468.41	$632.36	$4,611.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.32 / $1,185.01 / $1,481.26	Professional		$910.32	$1,185.01	$1,481.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.82 / $834.91 / $1,328.88	Facility		$627.82	$834.91	$1,328.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.50 / $1,051.66 / $3,839.44	Professional		$488.50	$1,051.66	$3,839.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.79 / $1,272.83 / $2,020.28	Facility		$954.79	$1,272.83	$2,020.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $769.94 / $1,059.27 / $1,373.36	Professional		$769.94	$1,059.27	$1,373.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $565.82 / $864.20 / $1,025.33	Professional		$565.82	$864.20	$1,025.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.64 / $906.66 / $1,410.36	Professional		$450.64	$906.66	$1,410.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,017.20 / $1,244.50 / $1,244.50	Professional		$1,017.20	$1,244.50	$1,244.50