Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $274.14 / $921.00	Facility		$164.79	$274.14	$921.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $690.48 / $690.48 / $690.48	Facility	50	$690.48	$690.48	$690.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.79 / $280.31 / $684.00	Professional		$164.79	$280.31	$684.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $918.65 / $1,586.00 / $2,230.00	Professional	50	$918.65	$1,586.00	$2,230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.12 / $497.59 / $760.60	Professional		$359.12	$497.59	$760.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.01 / $375.77 / $671.75	Facility		$210.01	$375.77	$671.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $675.95 / $3,411.19	Professional		$305.60	$675.95	$3,411.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $388.36 / $580.04 / $1,386.25	Facility		$388.36	$580.04	$1,386.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $488.05 / $676.02	Professional		$351.52	$488.05	$676.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $375.63 / $514.92	Professional		$253.44	$375.63	$514.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $454.00 / $706.22	Professional		$280.14	$454.00	$706.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $364.20 / $600.20	Professional		$297.60	$364.20	$600.20