Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $4,365.16	Facility		$457.09	$588.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,047.13	Professional		$426.58	$602.56	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	50	$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,584.89	Professional		$912.01	$1,258.93	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $676.08 / $1,288.25	Facility		$380.19	$676.08	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $5,623.41	Professional		$436.52	$794.33	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,148.15	Professional		$977.24	$977.24	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,047.13	Professional		$549.54	$831.76	$1,047.13
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 $467.74 / $812.83 / $1,380.38	Professional		$467.74	$812.83	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,230.27	Professional		$812.83	$1,000.00	$1,230.27