Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $1,153.00 / $3,420.00	Facility		$158.11	$1,153.00	$3,420.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $946.44 / $2,375.10 / $4,127.39	Facility	50	$946.44	$2,375.10	$4,127.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $259.06 / $2,998.20	Professional		$154.09	$259.06	$2,998.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $265.27 / $942.00 / $3,836.70	Professional	50	$265.27	$942.00	$3,836.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.03 / $366.96 / $458.70	Professional		$352.03	$366.96	$458.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $267.20 / $440.67	Facility		$190.80	$267.20	$440.67
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,891.49 / $2,930.40 / $8,099.99	Facility	50	$1,891.49	$2,930.40	$8,099.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $316.14 / $1,429.86	Professional		$189.68	$316.14	$1,429.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $413.78 / $1,166.95	Facility		$282.00	$413.78	$1,166.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $352.98 / $431.16	Professional		$265.00	$352.98	$431.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $268.63 / $313.75	Professional		$195.05	$268.63	$313.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $331.95 / $434.81	Professional		$207.56	$331.95	$434.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $305.80 / $359.70 / $374.10	Professional		$305.80	$359.70	$374.10