Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $1,216.51 / $2,332.08	Facility		$102.66	$1,216.51	$2,332.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.75 / $1,327.27 / $4,451.13	Facility	50	$537.75	$1,327.27	$4,451.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $191.25 / $1,079.50	Professional		$102.66	$191.25	$1,079.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.22 / $807.68 / $6,070.82	Professional	50	$151.22	$807.68	$6,070.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $324.55 / $558.03	Professional		$217.36	$324.55	$558.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $254.75 / $486.42	Facility		$148.22	$254.75	$486.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.47 / $435.71 / $3,500.00	Professional		$216.47	$435.71	$3,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $247.59 / $419.22 / $1,123.16	Facility		$247.59	$419.22	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $287.08 / $480.40	Professional		$219.42	$287.08	$480.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.77 / $260.43 / $372.61	Professional		$173.77	$260.43	$372.61
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 $207.38 / $302.76 / $536.20	Professional		$207.38	$302.76	$536.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $248.10 / $452.30	Professional		$202.80	$248.10	$452.30