Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $375.14 / $4,362.47	Facility		$162.79	$375.14	$4,362.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.40 / $81.40 / $187.57	Facility	52	$81.40	$81.40	$187.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.56 / $32.56 / $75.03	Facility	53	$32.56	$32.56	$75.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $192.08 / $986.35	Professional		$162.79	$192.08	$986.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.62 / $485.96 / $1,095.60	Professional		$314.62	$485.96	$1,095.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.63 / $443.27 / $1,061.69	Facility		$211.63	$443.27	$1,061.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $705.72 / $2,839.20	Professional		$263.33	$705.72	$2,839.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.46 / $765.44 / $1,213.17	Facility		$337.46	$765.44	$1,213.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $488.93 / $880.00	Professional		$300.00	$488.93	$880.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $485.71 / $730.89	Professional		$252.24	$485.71	$730.89
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 $343.32 / $671.04 / $1,043.83	Professional		$343.32	$671.04	$1,043.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $410.70 / $889.60	Professional		$335.60	$410.70	$889.60