Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.33 / $262.83 / $581.66	Facility		$217.33	$262.83	$581.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $917.02 / $917.02 / $917.02	Facility	50	$917.02	$917.02	$917.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.00 / $163.00 / $197.12	Facility	54	$163.00	$163.00	$197.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $296.17 / $487.69	Professional		$214.55	$296.17	$487.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $306.77 / $709.92 / $836.10	Professional	50	$306.77	$709.92	$836.10
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $133.51 / $163.00 / $321.70	Professional	54	$133.51	$163.00	$321.70
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $26.70 / $32.60 / $64.34	Professional	55	$26.70	$32.60	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.37 / $561.73 / $702.16	Professional		$408.37	$561.73	$702.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $308.20 / $832.24	Facility		$184.45	$308.20	$832.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.43 / $483.34 / $3,680.00	Professional		$214.43	$483.34	$3,680.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $837.68 / $837.68 / $837.68	Professional	50	$837.68	$837.68	$837.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $228.69 / $532.25 / $725.76	Facility		$228.69	$532.25	$725.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.23 / $571.03 / $674.77	Professional		$443.23	$571.03	$674.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.02 / $393.96 / $554.09	Professional		$246.02	$393.96	$554.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.93 / $445.29 / $691.66	Professional		$267.93	$445.29	$691.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $451.70 / $469.80 / $560.79	Professional		$451.70	$469.80	$560.79