Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $341.85 / $1,053.20	Facility		$96.53	$341.85	$1,053.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,121.52 / $1,817.21 / $1,817.21	Facility	50	$1,121.52	$1,817.21	$1,817.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $117.00 / $199.84	Professional		$96.18	$117.00	$199.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $159.97 / $166.73 / $845.83	Professional	50	$159.97	$166.73	$845.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.49 / $260.22 / $325.27	Professional		$187.49	$260.22	$325.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $142.10 / $354.96	Facility		$85.07	$142.10	$354.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $231.26 / $1,169.94	Professional		$92.90	$231.26	$1,169.94
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $603.61 / $603.61 / $1,033.71	Professional	50	$603.61	$603.61	$1,033.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $236.02 / $303.95	Facility		$102.46	$236.02	$303.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $236.02 / $308.70	Professional		$204.54	$236.02	$308.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $168.40 / $218.93	Professional		$113.52	$168.40	$218.93
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 $121.60 / $202.66 / $285.29	Professional		$121.60	$202.66	$285.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.20 / $211.40 / $260.00	Professional		$203.20	$211.40	$260.00