Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.29 / $1,622.94 / $3,361.74	Facility		$305.29	$1,622.94	$3,361.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,301.58 / $6,301.58 / $6,301.58	Facility	50	$6,301.58	$6,301.58	$6,301.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $776.83 / $2,276.94	Professional		$281.48	$776.83	$2,276.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,187.55 / $1,187.55 / $1,187.55	Professional	50	$1,187.55	$1,187.55	$1,187.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.87 / $1,565.13 / $3,957.83	Professional		$627.87	$1,565.13	$3,957.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.02 / $1,437.34 / $3,407.70	Facility		$407.02	$1,437.34	$3,407.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,326.13 / $3,265.74 / $11,617.10	Professional		$1,326.13	$3,265.74	$11,617.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $2,574.26 / $4,583.99	Facility		$694.09	$2,574.26	$4,583.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.91 / $2,268.00 / $3,962.46	Professional		$633.91	$2,268.00	$3,962.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $469.50 / $1,952.83 / $2,619.30	Professional		$469.50	$1,952.83	$2,619.30
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 $1,800.82 / $2,766.40 / $4,303.29	Professional		$1,800.82	$2,766.40	$4,303.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $711.10 / $3,305.60	Professional		$581.20	$711.10	$3,305.60