Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.54 / $1,327.27 / $2,529.76	Facility		$108.54	$1,327.27	$2,529.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.36 / $2,492.40 / $4,399.00	Facility	50	$1,288.36	$2,492.40	$4,399.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.71 / $21.71 / $50.24	Facility	53	$21.71	$21.71	$50.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $251.19 / $2,039.40	Professional		$95.09	$251.19	$2,039.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.00 / $160.22 / $1,530.00	Professional	50	$156.00	$160.22	$1,530.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $18.59 / $42.22 / $70.34	Professional	53	$18.59	$42.22	$70.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $382.12 / $712.88	Professional		$230.10	$382.12	$712.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $356.73 / $1,271.02	Facility		$157.05	$356.73	$1,271.02
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,740.09 / $2,740.09 / $3,225.12	Facility	50	$2,740.09	$2,740.09	$3,225.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $520.57 / $4,050.50	Professional		$246.24	$520.57	$4,050.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.48 / $531.29 / $1,123.16	Facility		$261.48	$531.29	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $396.00 / $620.91	Professional		$231.70	$396.00	$620.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $306.92 / $472.24	Professional		$183.12	$306.92	$472.24
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 $240.00 / $429.80 / $668.58	Professional		$240.00	$429.80	$668.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $261.50 / $573.20	Professional		$213.70	$261.50	$573.20