Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $5,741.62 / $8,504.04	Facility		$282.33	$5,741.62	$8,504.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $533.91 / $1,569.02	Professional		$282.33	$533.91	$1,569.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,454.26 / $1,454.26 / $1,454.26	Professional	50	$1,454.26	$1,454.26	$1,454.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.77 / $1,983.11 / $2,727.82	Professional		$582.77	$1,983.11	$2,727.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $1,293.10 / $3,270.81	Facility		$373.67	$1,293.10	$3,270.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,441.99 / $2,865.00 / $11,167.89	Professional		$1,441.99	$2,865.00	$11,167.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $658.61 / $2,348.46 / $3,149.26	Facility		$658.61	$2,348.46	$3,149.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $595.33 / $2,053.10 / $3,065.83	Professional		$595.33	$2,053.10	$3,065.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.82 / $1,388.23 / $1,982.54	Professional		$449.82	$1,388.23	$1,982.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.83 / $1,924.25 / $2,993.28	Professional		$1,321.83	$1,924.25	$2,993.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $545.79 / $667.80 / $2,303.10	Professional		$545.79	$667.80	$2,303.10