Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.57 / $753.64 / $3,738.29	Facility		$292.57	$753.64	$3,738.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,361.46 / $9,361.46 / $9,361.46	Facility	50	$9,361.46	$9,361.46	$9,361.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $623.88 / $1,059.64	Professional		$292.57	$623.88	$1,059.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $433.19 / $1,107.61 / $2,651.00	Professional	50	$433.19	$1,107.61	$2,651.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.57 / $899.29 / $2,073.38	Professional		$613.57	$899.29	$2,073.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.03 / $1,054.35 / $2,272.86	Facility		$421.03	$1,054.35	$2,272.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.68 / $1,736.81 / $8,263.84	Professional		$711.68	$1,736.81	$8,263.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $708.23 / $1,558.22 / $12,261.67	Facility		$708.23	$1,558.22	$12,261.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $1,245.99 / $2,002.71	Professional		$661.57	$1,245.99	$2,002.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $1,032.59 / $1,385.01	Professional		$499.86	$1,032.59	$1,385.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $6,000.00 / $6,000.00	Facility		$6,000.00	$6,000.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.76 / $1,464.66 / $2,116.30	Professional		$909.76	$1,464.66	$2,116.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $583.40 / $713.70 / $1,681.10	Professional		$583.40	$713.70	$1,681.10