Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.37 / $470.69 / $975.04	Facility		$249.37	$470.69	$975.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,720.49 / $6,889.82 / $6,889.82	Facility	50	$1,720.49	$6,889.82	$6,889.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $276.14 / $713.66	Professional		$249.37	$276.14	$713.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17,003.32 / $17,003.32 / $17,003.32	Professional	50	$17,003.32	$17,003.32	$17,003.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.36 / $672.95 / $1,256.30	Professional		$538.36	$672.95	$1,256.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $554.03 / $795.47	Facility		$292.50	$554.03	$795.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.32 / $941.05 / $4,486.05	Professional		$319.32	$941.05	$4,486.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $744.59 / $4,245.22	Facility		$506.00	$744.59	$4,245.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $632.78 / $1,124.16	Professional		$495.00	$632.78	$1,124.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $351.11 / $470.94 / $838.02	Professional		$351.11	$470.94	$838.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.80 / $887.67 / $1,174.57	Professional		$367.80	$887.67	$1,174.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $448.60 / $548.90 / $989.20	Professional		$448.60	$548.90	$989.20