Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $873.54 / $4,544.26	Facility		$67.11	$873.54	$4,544.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.56 / $33.56 / $142.58	Facility	52	$33.56	$33.56	$142.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.42 / $13.42 / $57.03	Facility	53	$13.42	$13.42	$57.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $171.31 / $661.50	Professional		$71.84	$171.31	$661.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $227.94 / $825.85	Professional		$147.26	$227.94	$825.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.46 / $211.04 / $502.88	Facility		$87.46	$211.04	$502.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $533.90 / $2,112.88	Professional		$205.45	$533.90	$2,112.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.31 / $607.03 / $921.87	Facility		$177.31	$607.03	$921.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $297.29 / $734.14	Professional		$157.93	$297.29	$734.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $269.20 / $544.04	Professional		$119.33	$269.20	$544.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.62 / $515.29 / $782.94	Professional		$265.62	$515.29	$782.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $170.40 / $660.40	Professional		$139.30	$170.40	$660.40