Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.48 / $3,070.01 / $4,063.17	Facility		$810.48	$3,070.01	$4,063.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.97 / $164.86 / $5,077.60	Facility	52	$84.97	$164.86	$5,077.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.99 / $84.97 / $4,910.20	Facility	53	$33.99	$84.97	$4,910.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $387.19 / $1,604.70	Professional		$170.41	$387.19	$1,604.70
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $58.84 / $90.63 / $166.44	Professional	53	$58.84	$90.63	$166.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $508.36 / $972.90	Professional		$318.39	$508.36	$972.90
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $116.49 / $227.74 / $357.87	Professional	53	$116.49	$227.74	$357.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.89 / $500.57 / $1,908.90	Facility		$220.89	$500.57	$1,908.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $628.92 / $2,761.67	Professional		$374.92	$628.92	$2,761.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $433.09 / $737.26 / $1,076.22	Facility		$433.09	$737.26	$1,076.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.84 / $679.92 / $883.21	Professional		$398.84	$679.92	$883.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $474.50 / $652.42	Professional		$301.35	$474.50	$652.42
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 $390.73 / $620.74 / $925.71	Professional		$390.73	$620.74	$925.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $430.30 / $795.40	Professional		$351.70	$430.30	$795.40