Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,311.31 / $6,456.54	Facility		$446.68	$3,311.31	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $2,290.87 / $7,079.46	Facility	50	$1,949.84	$2,290.87	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $1,380.38	Professional		$190.55	$446.68	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $616.60 / $2,398.83	Professional	50	$275.42	$616.60	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,288.25	Professional		$416.87	$562.34	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $588.84 / $1,047.13	Facility		$275.42	$588.84	$1,047.13
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $5,370.32 / $7,943.28	Facility	50	$2,290.87	$5,370.32	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $3,311.31	Professional		$457.09	$831.76	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $954.99	Professional		$457.09	$524.81	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $933.25	Professional		$457.09	$501.19	$933.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $831.76	Professional		$316.23	$602.56	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,174.90	Professional		$288.40	$549.54	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,023.29	Professional		$371.54	$457.09	$1,023.29