Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.08 / $724.58 / $2,788.16	Facility		$207.08	$724.58	$2,788.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.54 / $103.54 / $362.29	Facility	52	$103.54	$103.54	$362.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $636.35 / $2,022.08	Professional		$207.08	$636.35	$2,022.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.27 / $634.73 / $2,065.59	Professional		$417.27	$634.73	$2,065.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.94 / $684.26 / $1,965.96	Facility		$268.94	$684.26	$1,965.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.26 / $1,341.44 / $5,373.76	Professional		$801.26	$1,341.44	$5,373.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.88 / $1,522.92 / $2,367.23	Facility		$528.88	$1,522.92	$2,367.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $1,349.59 / $1,908.01	Professional		$483.98	$1,349.59	$1,908.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $365.68 / $948.82 / $1,367.55	Professional		$365.68	$948.82	$1,367.55
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 $871.73 / $1,669.30 / $2,028.29	Professional		$871.73	$1,669.30	$2,028.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $522.20 / $1,659.90	Professional		$426.80	$522.20	$1,659.90