Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.50 / $3,674.79 / $4,881.42	Facility		$442.50	$3,674.79	$4,881.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $463.01 / $3,142.80	Professional		$391.88	$463.01	$3,142.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,777.95 / $1,777.95 / $5,876.70	Professional	50	$1,777.95	$1,777.95	$5,876.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.78 / $1,029.97 / $1,287.46	Professional		$748.78	$1,029.97	$1,287.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.80 / $733.68 / $1,113.73	Facility		$539.80	$733.68	$1,113.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.56 / $979.78 / $4,131.06	Professional		$461.56	$979.78	$4,131.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $883.22 / $1,083.19 / $2,173.59	Facility		$883.22	$1,083.19	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $654.00 / $969.40 / $1,185.38	Professional		$654.00	$969.40	$1,185.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $529.03 / $741.82 / $887.55	Professional		$529.03	$741.82	$887.55
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 $461.69 / $775.21 / $1,205.88	Professional		$461.69	$775.21	$1,205.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $865.70 / $1,059.20 / $1,077.30	Professional		$865.70	$1,059.20	$1,077.30