Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.05 / $621.16 / $2,568.96	Facility		$185.05	$621.16	$2,568.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.53 / $92.53 / $310.58	Facility	52	$92.53	$92.53	$310.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.05 / $266.87 / $1,871.72	Professional		$185.05	$266.87	$1,871.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $563.00 / $1,773.43	Professional		$358.75	$563.00	$1,773.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.31 / $563.85 / $1,157.38	Facility		$240.31	$563.85	$1,157.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.46 / $1,400.43 / $4,612.72	Professional		$371.46	$1,400.43	$4,612.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $439.64 / $1,269.01 / $2,031.45	Facility		$439.64	$1,269.01	$2,031.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $382.40 / $617.16 / $1,500.97	Professional		$382.40	$617.16	$1,500.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $719.45 / $1,174.11	Professional		$326.08	$719.45	$1,174.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $3,793.98	Facility		$2,000.00	$2,000.00	$3,793.98
United Facility/Professional Professional Modifier Low / Median / High Price $607.05 / $1,198.11 / $1,863.74	Professional		$607.05	$1,198.11	$1,863.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $465.60 / $1,425.10	Professional		$380.60	$465.60	$1,425.10