Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,737.80 / $2,691.53	Facility		$131.83	$1,737.80	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $1,174.90	Professional		$125.89	$281.84	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $1,698.24 / $1,698.24	Professional	50	$562.34	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $794.33	Professional		$269.15	$380.19	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $354.81 / $616.60	Facility		$181.97	$354.81	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $1,995.26	Professional		$251.19	$467.74	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $562.34	Professional		$288.40	$309.03	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $524.81	Professional		$269.15	$295.12	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Professional		$213.80	$323.59	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $676.08	Professional		$169.82	$316.23	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $616.60	Professional		$251.19	$309.03	$616.60