Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,981.07 / $6,456.54	Facility		$275.42	$3,981.07	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility	50	$8,912.51	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $1,380.38	Professional		$251.19	$446.68	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional	50	$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,174.90	Professional		$575.44	$724.44	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $1,202.26	Facility		$363.08	$616.60	$1,202.26
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	50	$2,511.89	$2,511.89	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $851.14 / $3,630.78	Professional		$389.05	$851.14	$3,630.78
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	50	$630.96	$630.96	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,445.44	Professional		$575.44	$891.25	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,000.00	Professional		$436.52	$588.84	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,230.27	Professional		$446.68	$758.58	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,000.00	Professional		$537.03	$645.65	$1,000.00