Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.68 / $419.68 / $3,073.00	Facility		$419.68	$419.68	$3,073.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $209.84 / $209.84 / $209.84	Facility	52	$209.84	$209.84	$209.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.56 / $419.68 / $770.45	Professional		$376.56	$419.68	$770.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.16 / $954.40 / $1,193.00	Professional		$733.16	$954.40	$1,193.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.42 / $710.54 / $1,141.38	Facility		$554.42	$710.54	$1,141.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.52 / $888.15 / $3,259.28	Professional		$432.52	$888.15	$3,259.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.26 / $1,045.76 / $3,711.03	Facility		$784.26	$1,045.76	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $656.72 / $930.13 / $1,130.13	Professional		$656.72	$930.13	$1,130.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $522.86 / $724.67 / $826.74	Professional		$522.86	$724.67	$826.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $159.06 / $159.06 / $159.06	Professional	AS	$159.06	$159.06	$159.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.22 / $845.86 / $1,181.04	Professional		$465.22	$845.86	$1,181.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.20 / $1,003.50 / $1,003.50	Professional		$820.20	$1,003.50	$1,003.50