Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.15 / $731.86 / $731.86	Facility		$152.15	$731.86	$731.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.08 / $76.08 / $365.93	Facility	52	$76.08	$76.08	$365.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $908.04 / $1,856.70	Professional		$138.65	$908.04	$1,856.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.22 / $1,093.72 / $1,880.55	Professional		$327.22	$1,093.72	$1,880.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.82 / $618.14 / $1,319.91	Facility		$177.82	$618.14	$1,319.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $1,290.00 / $4,841.12	Professional		$618.29	$1,290.00	$4,841.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $366.43 / $1,064.05 / $1,645.50	Facility		$366.43	$1,064.05	$1,645.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $1,093.43 / $1,645.50	Professional		$318.77	$1,093.43	$1,645.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $240.86 / $842.45 / $1,236.86	Professional		$240.86	$842.45	$1,236.86
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 $671.72 / $1,128.98 / $1,756.19	Professional		$671.72	$1,128.98	$1,756.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.89 / $330.30 / $1,441.60	Professional		$269.89	$330.30	$1,441.60