Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $441.89 / $441.89	Facility		$89.57	$441.89	$441.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.79 / $44.79 / $220.95	Facility	52	$44.79	$44.79	$220.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.91 / $17.91 / $88.38	Facility	53	$17.91	$17.91	$88.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $408.25 / $897.12	Professional		$81.62	$408.25	$897.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $228.86 / $1,080.03	Professional		$183.09	$228.86	$1,080.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $354.98 / $1,008.32	Facility		$110.83	$354.98	$1,008.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.64 / $1,089.07 / $2,780.16	Professional		$445.64	$1,089.07	$2,780.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.40 / $701.83 / $1,106.70	Facility		$204.40	$701.83	$1,106.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $698.98 / $1,066.98	Professional		$179.03	$698.98	$1,066.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $392.41 / $710.30	Professional		$118.65	$392.41	$710.30
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 $477.66 / $1,089.07 / $1,137.83	Professional		$477.66	$1,089.07	$1,137.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $200.80 / $896.40	Professional		$164.10	$200.80	$896.40