Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $125.89 / $263.03	Facility		$30.90	$125.89	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $50.12 / $134.90	Professional		$26.30	$50.12	$134.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $181.97 / $371.54	Professional	50	$64.57	$181.97	$371.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	52	$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $141.25	Professional		$74.13	$91.20	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $128.82	Facility		$38.02	$63.10	$128.82
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	50	$75.86	$75.86	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $354.81	Professional		$41.69	$91.20	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $107.15	Professional		$69.18	$75.86	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $97.72	Professional		$69.18	$69.18	$97.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $93.33	Professional		$47.86	$70.79	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $125.89	Professional		$41.69	$72.44	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $112.20	Professional		$60.26	$74.13	$112.20