Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $4,365.16	Facility		$630.96	$794.33	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	50	$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $2,691.53	Professional		$602.56	$812.83	$2,691.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $831.76 / $1,047.13	Professional	50	$831.76	$831.76	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,187.76	Professional		$1,230.27	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $1,778.28	Facility		$512.86	$891.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,174.90 / $7,244.36	Professional		$645.65	$1,174.90	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,698.24	Professional		$1,380.38	$1,380.38	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,412.54	Professional		$776.25	$1,148.15	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,995.26	Professional		$645.65	$1,096.48	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,698.24	Professional		$1,122.02	$1,380.38	$1,698.24