Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $676.08 / $1,258.93	Facility		$48.98	$676.08	$1,258.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $2,344.23 / $2,818.38	Facility	50	$1,071.52	$2,344.23	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $489.78	Professional		$48.98	$95.50	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $141.25 / $316.23	Professional	50	$72.44	$141.25	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $269.15	Professional		$104.71	$144.54	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $229.09	Facility		$74.13	$131.83	$229.09
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $1,174.90 / $2,511.89	Facility	50	$1,023.29	$1,174.90	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $1,819.70	Professional		$87.10	$169.82	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $199.53	Professional		$109.65	$123.03	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $190.55	Professional		$107.15	$114.82	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $177.83	Professional		$83.18	$125.89	$177.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	80	$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $239.88	Professional		$67.61	$117.49	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $213.80	Professional		$97.72	$120.23	$213.80