Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $344.05 / $344.05	Facility		$112.01	$344.05	$344.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.01 / $56.01 / $172.03	Facility	52	$56.01	$56.01	$172.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.40 / $22.40 / $68.81	Facility	53	$22.40	$22.40	$68.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $533.53 / $1,248.67	Professional		$96.65	$533.53	$1,248.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $299.95 / $896.94	Professional		$239.96	$299.95	$896.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $307.80 / $786.41	Facility		$145.35	$307.80	$786.41
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,493.02 / $1,493.02 / $1,493.02	Facility	50	$1,493.02	$1,493.02	$1,493.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.92 / $763.97 / $2,804.09	Professional		$349.92	$763.97	$2,804.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.50 / $561.08 / $829.79	Facility		$268.50	$561.08	$829.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $581.95 / $852.71	Professional		$233.62	$581.95	$852.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.52 / $443.23 / $594.50	Professional		$176.52	$443.23	$594.50
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 $320.76 / $567.11 / $882.17	Professional		$320.76	$567.11	$882.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $242.00 / $692.90	Professional		$197.80	$242.00	$692.90