Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $491.46 / $491.46	Facility		$108.95	$491.46	$491.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.48 / $54.48 / $245.73	Facility	52	$54.48	$54.48	$245.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $181.56 / $803.75	Professional		$108.95	$181.56	$803.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.22 / $326.25 / $1,398.48	Professional		$211.22	$326.25	$1,398.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.78 / $360.18 / $861.02	Facility		$141.78	$360.18	$861.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.81 / $1,165.36 / $3,618.00	Professional		$215.81	$1,165.36	$3,618.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $949.44 / $1,525.43	Facility		$257.64	$949.44	$1,525.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $328.86 / $1,226.97	Professional		$224.10	$328.86	$1,226.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $276.07 / $920.54	Professional		$191.92	$276.07	$920.54
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 $488.19 / $966.92 / $1,504.10	Professional		$488.19	$966.92	$1,504.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $274.00 / $1,117.30	Professional		$224.00	$274.00	$1,117.30