Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $2,882.54 / $5,692.28	Facility		$1,330.74	$2,882.54	$5,692.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.95 / $63.95 / $185.87	Facility	52	$63.95	$63.95	$185.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.58 / $25.58 / $74.34	Facility	53	$25.58	$25.58	$74.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $340.88 / $1,511.22	Professional		$65.83	$340.88	$1,511.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.42 / $383.71 / $1,076.13	Professional		$248.42	$383.71	$1,076.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.65 / $472.16 / $1,876.53	Facility		$180.65	$472.16	$1,876.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.05 / $680.00 / $2,784.32	Professional		$240.05	$680.00	$2,784.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.08 / $803.50 / $1,212.81	Facility		$325.08	$803.50	$1,212.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $604.00 / $996.66	Professional		$298.39	$604.00	$996.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $482.96 / $714.18	Professional		$225.46	$482.96	$714.18
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 $384.48 / $679.05 / $1,056.30	Professional		$384.48	$679.05	$1,056.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.10 / $321.89 / $866.90	Professional		$263.10	$321.89	$866.90