Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $240.86 / $240.86	Facility		$88.87	$240.86	$240.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.44 / $44.44 / $120.43	Facility	52	$44.44	$44.44	$120.43
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.77 / $17.77 / $48.17	Facility	53	$17.77	$17.77	$48.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $235.00 / $583.20	Professional		$82.06	$235.00	$583.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $228.86 / $601.85	Professional		$183.09	$228.86	$601.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.35 / $310.27 / $594.53	Facility		$117.35	$310.27	$594.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $574.62 / $1,989.58	Professional		$278.39	$574.62	$1,989.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $453.00 / $677.84	Facility		$206.40	$453.00	$677.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $393.07 / $570.04	Professional		$181.22	$393.07	$570.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $299.99 / $402.37	Professional		$136.93	$299.99	$402.37
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 $218.50 / $385.94 / $600.35	Professional		$218.50	$385.94	$600.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $203.30 / $507.80	Professional		$166.10	$203.30	$507.80