Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,365.16 / $6,918.31	Facility		$316.23	$4,365.16	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $3,801.89 / $6,918.31	Facility	50	$1,348.96	$3,801.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $7,585.78	Professional		$181.97	$354.81	$7,585.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $3,630.78 / $12,022.64	Professional	50	$602.56	$3,630.78	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $870.96	Professional		$407.38	$512.86	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $1,148.15	Facility		$223.87	$407.38	$1,148.15
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $5,495.41 / $11,748.98	Facility	50	$1,995.26	$5,495.41	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $3,801.89	Professional		$245.47	$562.34	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $645.65	Professional		$389.05	$407.38	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $588.84	Professional		$371.54	$371.54	$588.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $660.69	Professional		$295.12	$478.63	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $870.96	Professional		$269.15	$489.78	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $676.08	Professional		$331.13	$407.38	$676.08