Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.87 / $1,863.04 / $1,863.04	Facility		$326.87	$1,863.04	$1,863.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,913.93 / $16,913.93 / $16,913.93	Facility	50	$16,913.93	$16,913.93	$16,913.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,446.60 / $2,068.32	Professional		$285.25	$1,446.60	$2,068.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $307.12 / $307.12 / $614.25	Professional	50	$307.12	$307.12	$614.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.19 / $851.17 / $4,811.92	Professional		$642.19	$851.17	$4,811.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.23 / $1,831.32 / $3,560.47	Facility		$444.23	$1,831.32	$3,560.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,399.75 / $3,211.52 / $12,114.16	Professional		$1,399.75	$3,211.52	$12,114.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.61 / $2,877.30 / $5,115.08	Facility		$707.61	$2,877.30	$5,115.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.61 / $2,877.30 / $4,278.29	Professional		$707.61	$2,877.30	$4,278.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $2,226.38 / $3,127.66	Professional		$540.54	$2,226.38	$3,127.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,928.02 / $2,910.82 / $4,527.93	Professional		$1,928.02	$2,910.82	$4,527.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $655.90 / $802.50 / $4,042.00	Professional		$655.90	$802.50	$4,042.00