Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $2,252.78 / $9,427.79	Facility		$364.29	$2,252.78	$9,427.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,667.03 / $19,667.03 / $44,120.72	Facility	50	$19,667.03	$19,667.03	$44,120.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $542.38 / $2,338.69	Professional		$312.25	$542.38	$2,338.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $722.24 / $722.24 / $1,524.25	Professional	50	$722.24	$722.24	$1,524.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.73 / $3,327.60 / $5,721.52	Professional		$712.73	$3,327.60	$5,721.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.93 / $2,143.96 / $4,536.13	Facility		$486.93	$2,143.96	$4,536.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,708.97 / $3,882.00 / $14,571.52	Professional		$1,708.97	$3,882.00	$14,571.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $789.74 / $3,226.89 / $6,188.17	Facility		$789.74	$3,226.89	$6,188.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $789.74 / $3,226.89 / $4,633.79	Professional		$789.74	$3,226.89	$4,633.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.69 / $2,678.56 / $3,777.41	Professional		$602.69	$2,678.56	$3,777.41
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 $2,140.60 / $3,567.66 / $5,533.75	Professional		$2,140.60	$3,567.66	$5,533.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $731.30 / $894.80 / $4,801.20	Professional		$731.30	$894.80	$4,801.20