Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,071.52 / $2,818.38	Facility		$281.84	$1,071.52	$2,818.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $4,168.69 / $4,168.69	Facility	50	$3,019.95	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $1,047.13	Professional		$263.03	$380.19	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,621.81 / $7,585.78	Professional	50	$851.14	$1,621.81	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,122.02	Professional		$660.69	$831.76	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,000.00	Facility		$338.84	$537.03	$1,000.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $851.14 / $2,818.38	Facility	50	$851.14	$851.14	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $724.44 / $2,884.03	Professional		$331.13	$724.44	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $870.96	Professional		$630.96	$660.69	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $776.25	Professional		$588.84	$588.84	$776.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $741.31	Professional		$416.87	$588.84	$741.31
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 $338.84 / $602.56 / $1,000.00	Professional		$338.84	$602.56	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $891.25	Professional		$549.54	$676.08	$891.25