Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $3,307.01 / $4,338.00	Facility		$188.13	$3,307.01	$4,338.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,952.77 / $2,273.32 / $7,134.00	Facility	50	$1,952.77	$2,273.32	$7,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $418.39 / $1,614.60	Professional		$208.71	$418.39	$1,614.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $272.73 / $279.39 / $2,421.90	Professional	50	$272.73	$279.39	$2,421.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $610.83 / $1,268.96	Professional		$404.64	$610.83	$1,268.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.74 / $604.08 / $1,054.78	Facility		$271.74	$604.08	$1,054.78
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,282.33 / $3,509.22 / $7,870.03	Facility	50	$2,282.33	$3,509.22	$7,870.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.16 / $951.69 / $3,287.44	Professional		$470.16	$951.69	$3,287.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $479.64 / $946.13 / $2,173.59	Facility		$479.64	$946.13	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $630.52 / $1,107.31	Professional		$459.78	$630.52	$1,107.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $600.03 / $840.97	Professional		$317.29	$600.03	$840.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $752.83 / $1,171.07	Professional		$384.01	$752.83	$1,171.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $370.30 / $453.10 / $1,020.80	Professional		$370.30	$453.10	$1,020.80