Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $4,365.16	Facility		$229.09	$263.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $1,202.26	Professional		$229.09	$407.38	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $676.08 / $1,659.59	Professional	50	$512.86	$676.08	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $724.44	Professional		$446.68	$575.44	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $1,380.38	Facility		$181.97	$323.59	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $2,951.21	Professional		$446.68	$831.76	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,148.15 / $1,230.27	Professional		$524.81	$1,148.15	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $812.83	Professional		$309.03	$426.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,412.54	Professional		$416.87	$645.65	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $562.34	Professional		$407.38	$489.78	$562.34