Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $749.70 / $1,211.14	Facility		$57.43	$749.70	$1,211.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,461.60 / $2,628.27 / $2,628.27	Facility	50	$1,461.60	$2,628.27	$2,628.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $93.12 / $359.56	Professional		$57.43	$93.12	$359.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.18 / $407.18 / $545.40	Professional	50	$84.18	$407.18	$545.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $165.56 / $280.48	Professional		$120.36	$165.56	$280.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $133.77 / $225.83	Facility		$82.51	$133.77	$225.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $217.61 / $2,750.00	Professional		$103.68	$217.61	$2,750.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $181.47 / $255.02	Facility		$129.56	$181.47	$255.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $160.28 / $243.80	Professional		$124.88	$160.28	$243.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $133.86 / $189.54	Professional		$95.61	$133.86	$189.54
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $172.17 / $267.82	Professional		$102.22	$172.17	$267.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $139.80 / $230.10	Professional		$114.20	$139.80	$230.10