Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $91.14 / $1,105.15	Facility		$49.64	$91.14	$1,105.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,077.52 / $2,367.16 / $2,816.37	Facility	50	$1,077.52	$2,367.16	$2,816.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $84.51 / $495.00	Professional		$48.93	$84.51	$495.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.42 / $139.50 / $380.48	Professional	50	$72.42	$139.50	$380.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $142.19 / $261.97	Professional		$105.12	$142.19	$261.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $120.55 / $227.83	Facility		$70.88	$120.55	$227.83
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,016.51 / $1,185.22 / $2,538.90	Facility	50	$1,016.51	$1,185.22	$2,538.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $201.70 / $1,800.00	Professional		$94.17	$201.70	$1,800.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $156.43 / $237.22	Facility		$110.63	$156.43	$237.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $137.52 / $228.19	Professional		$107.54	$137.52	$228.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $124.71 / $175.96	Professional		$83.58	$124.71	$175.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $32.04 / $32.04 / $32.04	Professional	80	$32.04	$32.04	$32.04
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 $79.06 / $161.01 / $249.90	Professional		$79.06	$161.01	$249.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $119.40 / $213.60	Professional		$97.50	$119.40	$213.60