Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.32 / $1,383.04 / $21,463.52	Facility		$248.32	$1,383.04	$21,463.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.16 / $124.16 / $691.52	Facility	52	$124.16	$124.16	$691.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $1,128.96 / $1,785.31	Professional		$207.00	$1,128.96	$1,785.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $114.38 / $613.15 / $691.52	Professional	52	$114.38	$613.15	$691.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.31 / $637.89 / $3,372.53	Professional		$510.31	$637.89	$3,372.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $1,113.18 / $3,152.64	Facility		$307.64	$1,113.18	$3,152.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,369.17 / $3,458.84 / $8,740.16	Professional		$1,369.17	$3,458.84	$8,740.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.79 / $2,221.36 / $3,895.64	Facility		$575.79	$2,221.36	$3,895.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $2,194.94 / $3,261.89	Professional		$510.19	$2,194.94	$3,261.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.09 / $1,560.78 / $2,225.98	Professional		$338.09	$1,560.78	$2,225.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.17 / $2,376.00 / $3,696.00	Professional		$1,369.17	$2,376.00	$3,696.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.70 / $572.29 / $2,809.20	Professional		$467.70	$572.29	$2,809.20