Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.83 / $2,589.96 / $3,863.45	Facility		$282.83	$2,589.96	$3,863.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.68 / $56.68 / $141.41	Facility	52	$56.68	$56.68	$141.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.67 / $22.67 / $56.57	Facility	53	$22.67	$22.67	$56.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $213.24 / $1,184.58	Professional		$109.69	$213.24	$1,184.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $345.32 / $827.79	Professional		$222.03	$345.32	$827.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $351.36 / $814.08	Facility		$147.63	$351.36	$814.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $525.44 / $2,132.08	Professional		$296.36	$525.44	$2,132.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.39 / $608.58 / $947.94	Facility		$300.39	$608.58	$947.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $531.00 / $748.21	Professional		$265.64	$531.00	$748.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $373.92 / $548.96	Professional		$200.71	$373.92	$548.96
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 $305.95 / $509.94 / $789.77	Professional		$305.95	$509.94	$789.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.20 / $286.60 / $670.60	Professional		$234.20	$286.60	$670.60