Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,318.26 / $3,630.78	Facility		$177.83	$1,318.26	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $707.95 / $2,884.03 / $4,365.16	Facility	50	$707.95	$2,884.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $691.83	Professional		$87.10	$177.83	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $323.59 / $1,122.02	Professional	50	$128.82	$323.59	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $524.81	Professional		$190.55	$263.03	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $446.68	Facility		$131.83	$234.42	$446.68
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $2,511.89 / $3,467.37	Facility	50	$1,023.29	$2,511.89	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $3,090.30	Professional		$186.21	$338.84	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $398.11	Professional		$199.53	$208.93	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $389.05	Professional		$186.21	$204.17	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $346.74	Professional		$151.36	$245.47	$346.74
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	80	$64.57	$64.57	$64.57
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 $117.49 / $223.87 / $467.74	Professional		$117.49	$223.87	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $416.87	Professional		$173.78	$213.80	$416.87