Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $112.42 / $1,493.10	Facility		$53.48	$112.42	$1,493.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,795.63 / $2,795.63 / $2,795.63	Facility	50	$2,795.63	$2,795.63	$2,795.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $112.42 / $167.63	Professional		$53.48	$112.42	$167.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $184.65 / $317.48	Professional		$115.48	$184.65	$317.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.27 / $168.51 / $307.24	Facility		$76.27	$168.51	$307.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $261.06 / $1,367.00	Professional		$124.94	$261.06	$1,367.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $201.29 / $318.26	Facility		$118.62	$201.29	$318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $222.87 / $318.26	Professional		$118.62	$222.87	$318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $158.19 / $216.99	Professional		$89.63	$158.19	$216.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $202.72 / $326.33	Professional		$124.94	$202.72	$326.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $128.00 / $257.50	Professional		$104.60	$128.00	$257.50