Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $4,365.16	Facility		$323.59	$363.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,412.54	Professional		$323.59	$524.81	$1,412.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $794.33 / $1,071.52	Professional	50	$724.44	$794.33	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,000.00	Professional		$562.34	$794.33	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $446.68 / $2,511.89	Facility		$257.04	$446.68	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $676.08 / $5,248.07	Professional		$295.12	$676.08	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $794.33	Professional		$707.95	$707.95	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,288.25	Professional		$407.38	$588.84	$1,288.25
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 $338.84 / $630.96 / $1,071.52	Professional		$338.84	$630.96	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $776.25	Professional		$562.34	$691.83	$776.25