Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,659.59 / $3,548.13	Facility		$141.25	$1,659.59	$3,548.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $2,290.87 / $3,548.13	Facility	50	$1,548.82	$2,290.87	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $208.93 / $1,174.90	Professional		$56.23	$208.93	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $186.21 / $1,000.00	Professional	50	$81.28	$186.21	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $707.95	Professional		$123.03	$204.17	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $295.12 / $467.74	Facility		$85.11	$295.12	$467.74
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $1,862.09 / $3,548.13	Facility	50	$1,862.09	$1,862.09	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $346.74 / $1,778.28	Professional		$147.91	$346.74	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $389.05	Professional		$123.03	$141.25	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $389.05	Professional		$123.03	$134.90	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $457.09	Professional		$97.72	$281.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $489.78	Professional		$77.62	$169.82	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $549.54	Professional		$112.20	$138.04	$549.54