Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $118.09 / $295.77	Facility		$46.76	$118.09	$295.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,110.80 / $2,110.80 / $2,110.80	Facility	50	$2,110.80	$2,110.80	$2,110.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.61 / $15.61 / $23.38	Facility	52	$15.61	$15.61	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $47.03 / $129.94	Professional		$26.73	$47.03	$129.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.94 / $246.00 / $379.80	Professional	50	$64.94	$246.00	$379.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.18 / $19.91 / $46.62	Professional	52	$13.18	$19.91	$46.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $89.60 / $137.32	Professional		$71.68	$89.60	$137.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $67.28 / $128.82	Facility		$37.85	$67.28	$128.82
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $76.17 / $76.17 / $76.17	Facility	50	$76.17	$76.17	$76.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $126.04 / $356.96	Professional		$58.04	$126.04	$356.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $101.17 / $146.01	Facility		$74.37	$101.17	$146.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $89.78 / $124.75	Professional		$69.86	$89.78	$124.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $69.45 / $93.15	Professional		$46.30	$69.45	$93.15
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $100.65 / $131.68	Professional		$62.31	$100.65	$131.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $74.09 / $111.10	Professional		$60.50	$74.09	$111.10