Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $1,655.62 / $3,555.52	Facility		$57.32	$1,655.62	$3,555.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,559.85 / $2,273.32 / $3,584.09	Facility	50	$1,559.85	$2,273.32	$3,584.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $177.66 / $1,176.11	Professional		$54.79	$177.66	$1,176.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.90 / $161.37 / $1,003.05	Professional	50	$81.90	$161.37	$1,003.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $167.22 / $687.56	Professional		$121.68	$167.22	$687.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.83 / $264.69 / $441.62	Facility		$81.83	$264.69	$441.62
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,870.05 / $1,870.05 / $3,509.22	Facility	50	$1,870.05	$1,870.05	$3,509.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $391.10 / $1,779.12	Professional		$149.40	$391.10	$1,779.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $258.95 / $589.17	Facility		$124.14	$258.95	$589.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $258.95 / $482.71	Professional		$124.14	$258.95	$482.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $276.85 / $452.83	Professional		$96.78	$276.85	$452.83
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 $191.74 / $359.51 / $485.10	Professional		$191.74	$359.51	$485.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $138.19 / $549.60	Professional		$112.90	$138.19	$549.60