Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $1,582.46 / $2,416.69	Facility		$69.64	$1,582.46	$2,416.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.82 / $34.82 / $67.13	Facility	52	$34.82	$34.82	$67.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $118.50 / $424.53	Professional		$66.04	$118.50	$424.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $223.43 / $383.71	Professional		$161.27	$223.43	$383.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $180.92 / $1,454.33	Facility		$86.74	$180.92	$1,454.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $289.89 / $1,001.20	Professional		$150.69	$289.89	$1,001.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $290.39 / $660.80	Facility		$180.20	$290.39	$660.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $250.83 / $344.10	Professional		$157.93	$250.83	$344.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $155.26 / $258.11	Professional		$104.66	$155.26	$258.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $263.72 / $362.54	Professional		$150.69	$263.72	$362.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $157.40 / $289.39	Professional		$128.69	$157.40	$289.39