Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,380.38 / $2,570.40	Facility		$776.25	$1,380.38	$2,570.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,511.89 / $4,365.16	Facility	50	$1,288.25	$2,511.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $1,778.28	Professional		$107.15	$275.42	$1,778.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $354.81 / $1,258.93	Professional	50	$158.49	$354.81	$1,258.93
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $51.29 / $97.72	Professional	53	$51.29	$51.29	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $724.44	Professional		$234.42	$323.59	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $371.54 / $1,513.56	Facility		$162.18	$371.54	$1,513.56
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $2,754.23 / $3,235.94	Facility	50	$2,754.23	$2,754.23	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $4,073.80	Professional		$239.88	$436.52	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $524.81	Professional		$239.88	$263.03	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $489.78	Professional		$229.09	$251.19	$489.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $467.74	Professional		$181.97	$302.00	$467.74
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 $144.54 / $288.40 / $630.96	Professional		$144.54	$288.40	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $575.44	Professional		$213.80	$263.03	$575.44