Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $3,980.57 / $6,442.59	Facility		$276.51	$3,980.57	$6,442.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.51 / $458.28 / $795.21	Professional		$276.51	$458.28	$795.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $127.69 / $207.55 / $229.14	Professional	52	$127.69	$207.55	$229.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.63 / $828.36 / $1,139.43	Professional		$565.63	$828.36	$1,139.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.18 / $682.44 / $1,706.48	Facility		$365.18	$682.44	$1,706.48
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,488.44 / $2,488.44 / $2,488.44	Facility	50	$2,488.44	$2,488.44	$2,488.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $763.31 / $1,216.82 / $3,589.98	Professional		$763.31	$1,216.82	$3,589.98
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $632.41 / $632.41 / $632.41	Professional	50	$632.41	$632.41	$632.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $579.33 / $894.47 / $1,344.20	Facility		$579.33	$894.47	$1,344.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $894.47 / $1,344.20	Professional		$579.33	$894.47	$1,344.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $596.32 / $1,081.08	Professional		$410.94	$596.32	$1,081.08
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 $543.09 / $835.52 / $1,272.18	Professional		$543.09	$835.52	$1,272.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $531.10 / $649.90 / $1,003.40	Professional		$531.10	$649.90	$1,003.40