Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $2,254.71 / $5,934.16	Facility		$154.77	$2,254.71	$5,934.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.95 / $30.95 / $101.79	Facility	53	$30.95	$30.95	$101.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $429.03 / $2,638.85	Professional		$154.77	$429.03	$2,638.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.94 / $826.94 / $1,421.86	Professional		$359.94	$826.94	$1,421.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.52 / $471.27 / $1,708.90	Facility		$216.52	$471.27	$1,708.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $766.50 / $1,475.61 / $3,676.00	Professional		$766.50	$1,475.61	$3,676.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $401.03 / $1,195.08 / $1,599.71	Facility		$401.03	$1,195.08	$1,599.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $1,059.68 / $1,475.61	Professional		$350.80	$1,059.68	$1,475.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $265.05 / $796.61 / $1,094.26	Professional		$265.05	$796.61	$1,094.26
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 $741.48 / $1,113.28 / $1,742.05	Professional		$741.48	$1,113.28	$1,742.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.80 / $349.60 / $1,056.20	Professional		$285.80	$349.60	$1,056.20