Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.41 / $4,338.00 / $7,980.72	Facility		$281.41	$4,338.00	$7,980.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $721.80 / $1,705.52	Professional		$281.41	$721.80	$1,705.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,625.47 / $3,625.47 / $3,625.47	Professional	50	$3,625.47	$3,625.47	$3,625.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.53 / $720.67 / $2,960.58	Professional		$576.53	$720.67	$2,960.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.83 / $1,424.27 / $3,547.49	Facility		$371.83	$1,424.27	$3,547.49
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,423.48 / $5,423.48 / $5,423.48	Facility	50	$5,423.48	$5,423.48	$5,423.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,826.74 / $3,699.90 / $12,119.05	Professional		$1,826.74	$3,699.90	$12,119.05
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $964.08 / $964.08 / $964.08	Professional	50	$964.08	$964.08	$964.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $656.19 / $2,569.33 / $3,465.00	Facility		$656.19	$2,569.33	$3,465.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.89 / $2,227.05 / $3,438.83	Professional		$593.89	$2,227.05	$3,438.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $448.72 / $1,682.69 / $2,533.15	Professional		$448.72	$1,682.69	$2,533.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $6,295.00	Facility		$3,143.00	$3,143.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.69 / $2,216.66 / $3,865.57	Professional		$442.69	$2,216.66	$3,865.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $544.50 / $666.20 / $2,498.19	Professional		$544.50	$666.20	$2,498.19