Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.12 / $1,768.13 / $5,123.38	Facility		$161.12	$1,768.13	$5,123.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.56 / $80.56 / $294.58	Facility	52	$80.56	$80.56	$294.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $177.31 / $1,381.28	Professional		$82.85	$177.31	$1,381.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.17 / $482.07 / $1,679.93	Professional		$283.17	$482.07	$1,679.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $491.82 / $1,595.80	Facility		$209.30	$491.82	$1,595.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.76 / $1,160.02 / $4,363.52	Professional		$246.76	$1,160.02	$4,363.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $1,205.17 / $1,929.27	Facility		$334.84	$1,205.17	$1,929.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $536.02 / $1,385.55	Professional		$297.00	$536.02	$1,385.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.73 / $701.46 / $1,115.26	Professional		$252.73	$701.46	$1,115.26
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 $607.63 / $1,104.78 / $1,670.45	Professional		$607.63	$1,104.78	$1,670.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $411.40 / $1,353.70	Professional		$336.30	$411.40	$1,353.70