Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $812.83	Facility		$169.82	$338.84	$812.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	50	$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $173.78 / $426.58	Professional		$51.29	$173.78	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $75.86 / $645.65	Professional	50	$66.07	$75.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $457.09	Professional		$125.89	$263.03	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $151.36 / $371.54	Facility		$67.61	$151.36	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $1,148.15	Professional		$100.00	$194.98	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $309.03	Professional		$109.65	$128.82	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Professional		$120.23	$120.23	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $302.00	Professional		$93.33	$162.18	$302.00
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 $70.79 / $138.04 / $363.08	Professional		$70.79	$138.04	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $354.81	Professional		$104.71	$128.82	$354.81