Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $307.25 / $673.00	Facility		$167.02	$307.25	$673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.81 / $454.56	Professional		$138.03	$246.81	$454.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,128.59 / $1,128.59 / $1,128.59	Professional	50	$1,128.59	$1,128.59	$1,128.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.47 / $449.93 / $800.53	Professional		$339.47	$449.93	$800.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.79 / $274.14 / $678.45	Facility		$145.79	$274.14	$678.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $522.54 / $1,170.24	Professional		$242.65	$522.54	$1,170.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $335.67 / $522.40 / $741.66	Facility		$335.67	$522.40	$741.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.10 / $517.62 / $754.22	Professional		$366.10	$517.62	$754.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $346.79 / $529.16	Professional		$218.56	$346.79	$529.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.52 / $493.29 / $789.10	Professional		$302.52	$493.29	$789.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $360.20 / $631.00	Professional		$346.40	$360.20	$631.00