Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.64 / $4,639.99 / $7,562.16	Facility		$595.64	$4,639.99	$7,562.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,008.80 / $2,008.80 / $2,008.80	Facility	50	$2,008.80	$2,008.80	$2,008.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.73 / $857.32 / $3,259.75	Professional		$539.73	$857.32	$3,259.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.13 / $1,389.14 / $1,736.42	Professional		$1,067.13	$1,389.14	$1,736.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.54 / $939.00 / $1,537.39	Facility		$724.54	$939.00	$1,537.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.46 / $1,213.60 / $5,838.31	Professional		$572.46	$1,213.60	$5,838.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,491.11 / $2,173.59	Facility		$953.00	$1,491.11	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $887.82 / $1,232.42 / $1,611.96	Professional		$887.82	$1,232.42	$1,611.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $729.40 / $1,002.83 / $1,203.23	Professional		$729.40	$1,002.83	$1,203.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $219.28 / $219.28 / $219.28	Professional	AS	$219.28	$219.28	$219.28
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 $531.99 / $1,055.14 / $1,641.33	Professional		$531.99	$1,055.14	$1,641.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,193.70 / $1,460.50 / $1,460.50	Professional		$1,193.70	$1,460.50	$1,460.50