Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $2,290.00 / $3,261.60	Facility		$177.92	$2,290.00	$3,261.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,420.24 / $3,420.24 / $3,420.24	Facility	50	$3,420.24	$3,420.24	$3,420.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $325.91 / $1,342.28	Professional		$172.78	$325.91	$1,342.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.47 / $79.47 / $79.47	Professional	50	$79.47	$79.47	$79.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $1,355.96 / $2,331.46	Professional		$370.07	$1,355.96	$2,331.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.73 / $772.68 / $2,178.66	Facility		$225.73	$772.68	$2,178.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,028.06 / $2,390.80 / $6,036.72	Professional		$1,028.06	$2,390.80	$6,036.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $415.75 / $1,536.00 / $2,321.40	Facility		$415.75	$1,536.00	$2,321.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $1,406.00 / $2,321.40	Professional		$374.09	$1,406.00	$2,321.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.81 / $1,096.91 / $1,544.15	Professional		$281.81	$1,096.91	$1,544.15
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.38 / $2,390.80 / $2,497.85	Professional		$912.38	$2,390.80	$2,497.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $419.60 / $1,948.70	Professional		$343.00	$419.60	$1,948.70