Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.43 / $2,290.00 / $6,441.91	Facility		$155.43	$2,290.00	$6,441.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.09 / $31.09 / $189.67	Facility	53	$31.09	$31.09	$189.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $155.43 / $1,388.56	Professional		$136.25	$155.43	$1,388.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $423.49 / $2,417.16	Professional		$333.45	$423.49	$2,417.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $791.69 / $2,000.00	Facility		$181.39	$791.69	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,123.83 / $1,825.61 / $6,211.20	Professional		$1,123.83	$1,825.61	$6,211.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $373.79 / $1,311.70 / $2,383.42	Facility		$373.79	$1,311.70	$2,383.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $1,562.06 / $2,383.42	Professional		$325.33	$1,562.06	$2,383.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $878.70 / $1,584.91	Professional		$215.59	$878.70	$1,584.91
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 $1,125.26 / $1,825.61 / $2,839.84	Professional		$1,125.26	$1,825.61	$2,839.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $337.00 / $1,847.30	Professional		$275.50	$337.00	$1,847.30