Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.92 / $3,330.00 / $5,050.93	Facility		$727.92	$3,330.00	$5,050.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.83 / $70.83 / $542.94	Facility	52	$70.83	$70.83	$542.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.33 / $28.33 / $217.18	Facility	53	$28.33	$28.33	$217.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $257.51 / $3,023.33	Professional		$128.28	$257.51	$3,023.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.38 / $423.64 / $3,027.78	Professional		$246.38	$423.64	$3,027.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.27 / $437.41 / $2,786.70	Facility		$184.27	$437.41	$2,786.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.04 / $2,053.00 / $7,882.64	Professional		$235.04	$2,053.00	$7,882.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $1,525.33 / $2,608.64	Facility		$292.50	$1,525.33	$2,608.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $1,176.95 / $2,554.62	Professional		$259.00	$1,176.95	$2,554.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $1,296.97 / $1,982.10	Professional		$219.45	$1,296.97	$1,982.10
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 $952.49 / $2,004.32 / $3,117.83	Professional		$952.49	$2,004.32	$3,117.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $357.30 / $2,405.90	Professional		$292.00	$357.30	$2,405.90