Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.11 / $1,891.86 / $1,891.86	Facility		$184.11	$1,891.86	$1,891.86
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,624.51 / $6,624.51 / $6,624.51	Facility	50	$6,624.51	$6,624.51	$6,624.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $1,474.42 / $4,214.43	Professional		$189.24	$1,474.42	$4,214.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $193.78 / $193.78 / $193.78	Professional	50	$193.78	$193.78	$193.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $2,753.84 / $4,734.97	Professional		$399.68	$2,753.84	$4,734.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.11 / $1,545.11 / $4,903.22	Facility		$216.11	$1,545.11	$4,903.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,505.42 / $4,494.31 / $18,915.68	Professional		$2,505.42	$4,494.31	$18,915.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $440.58 / $3,091.41 / $5,405.49	Facility		$440.58	$3,091.41	$5,405.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $3,481.79 / $4,725.46	Professional		$393.73	$3,481.79	$4,725.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $2,437.39 / $3,434.20	Professional		$297.50	$2,437.39	$3,434.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $725.28 / $725.28 / $725.28	Professional	AS	$725.28	$725.28	$725.28
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 $2,498.57 / $3,507.79 / $5,456.56	Professional		$2,498.57	$3,507.79	$5,456.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.40 / $407.90 / $3,607.10	Professional		$333.40	$407.90	$3,607.10