Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.93 / $12,150.00 / $21,077.50	Facility		$395.93	$12,150.00	$21,077.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,681.17 / $15,249.50 / $15,249.50	Facility	50	$9,681.17	$15,249.50	$15,249.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $423.05 / $11,315.37	Professional		$383.69	$423.05	$11,315.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.27 / $953.62 / $1,192.02	Professional		$693.27	$953.62	$1,192.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.49 / $712.67 / $1,181.58	Facility		$426.49	$712.67	$1,181.58
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $22,998.72 / $22,998.72 / $22,998.72	Facility	50	$22,998.72	$22,998.72	$22,998.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $823.18 / $3,959.35	Professional		$472.54	$823.18	$3,959.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $638.10 / $1,049.31 / $6,721.75	Facility		$638.10	$1,049.31	$6,721.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $962.13 / $1,164.79	Professional		$615.00	$962.13	$1,164.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $529.45 / $715.97 / $855.20	Professional		$529.45	$715.97	$855.20
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $159.69 / $159.69 / $159.69	Professional	80	$159.69	$159.69	$159.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $159.69 / $159.69 / $159.69	Professional	AS	$159.69	$159.69	$159.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.63 / $823.18 / $1,166.70	Professional		$461.63	$823.18	$1,166.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $848.40 / $1,038.00 / $1,038.00	Professional		$848.40	$1,038.00	$1,038.00