Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.10 / $1,288.36 / $2,201.21	Facility		$88.10	$1,288.36	$2,201.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $710.10 / $2,862.50 / $4,341.68	Facility	50	$710.10	$2,862.50	$4,341.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $171.49 / $1,530.00	Professional		$87.29	$171.49	$1,530.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.22 / $610.10 / $1,530.00	Professional	50	$130.22	$610.10	$1,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $308.56 / $516.15	Professional		$187.62	$308.56	$516.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $227.75 / $448.72	Facility		$127.61	$227.75	$448.72
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,016.51 / $2,538.90 / $3,462.47	Facility	50	$1,016.51	$2,538.90	$3,462.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.05 / $396.62 / $3,100.00	Professional		$197.05	$396.62	$3,100.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.90 / $387.18 / $1,123.16	Facility		$210.90	$387.18	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $260.06 / $444.37	Professional		$186.22	$260.06	$444.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.12 / $240.79 / $344.15	Professional		$150.12	$240.79	$344.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $63.19 / $63.19 / $63.19	Professional	80	$63.19	$63.19	$63.19
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 $188.36 / $314.93 / $489.89	Professional		$188.36	$314.93	$489.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $214.40 / $417.70	Professional		$175.20	$214.40	$417.70