Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $675.94 / $675.94	Facility		$190.95	$675.94	$675.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.48 / $95.48 / $337.97	Facility	52	$95.48	$95.48	$337.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $538.65 / $675.94	Professional		$181.21	$538.65	$675.94
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $87.91 / $300.95 / $337.97	Professional	52	$87.91	$300.95	$337.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.22 / $492.78 / $1,662.40	Professional		$394.22	$492.78	$1,662.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $551.34 / $1,511.99	Facility		$251.42	$551.34	$1,511.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.86 / $1,707.70 / $5,058.78	Professional		$705.86	$1,707.70	$5,058.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $440.31 / $1,148.00 / $1,651.85	Facility		$440.31	$1,148.00	$1,651.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $1,083.95 / $1,651.85	Professional		$387.18	$1,083.95	$1,651.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $292.55 / $821.36 / $1,101.67	Professional		$292.55	$821.36	$1,101.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $1,146.96 / $1,784.16	Professional		$348.13	$1,146.96	$1,784.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $434.30 / $1,390.30	Professional		$355.00	$434.30	$1,390.30