Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,348.96 / $3,388.44	Facility		$194.98	$1,348.96	$3,388.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $2,818.38 / $4,466.84	Facility	50	$1,318.26	$2,818.38	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $1,698.24	Professional		$102.33	$223.87	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $645.65 / $5,754.40	Professional	50	$263.03	$645.65	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $575.44	Professional		$218.78	$389.05	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $489.78	Facility		$151.36	$257.04	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $3,467.37	Professional		$208.93	$380.19	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $436.52	Professional		$229.09	$245.47	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $426.58	Professional		$218.78	$239.88	$426.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $371.54	Professional		$173.78	$269.15	$371.54
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 $138.04 / $251.19 / $512.86	Professional		$138.04	$251.19	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $457.09	Professional		$204.17	$245.47	$457.09