Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $204.81 / $456.82	Facility		$131.26	$204.81	$456.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $193.84 / $558.91	Professional		$123.85	$193.84	$558.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,002.92 / $1,004.00 / $1,056.00	Professional	50	$1,002.92	$1,004.00	$1,056.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $383.71 / $584.33	Professional		$293.31	$383.71	$584.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $288.72 / $524.37	Facility		$164.56	$288.72	$524.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $530.13 / $1,506.00	Professional		$241.21	$530.13	$1,506.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $341.96 / $526.92	Facility		$293.31	$341.96	$526.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $377.21 / $526.92	Professional		$258.74	$377.21	$526.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $291.31 / $390.73	Professional		$194.37	$291.31	$390.73
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 $241.21 / $356.06 / $553.87	Professional		$241.21	$356.06	$553.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $310.89 / $465.90	Professional		$254.10	$310.89	$465.90