Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,073.80	Facility		$870.96	$2,754.23	$4,073.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	52	$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $83.18 / $4,897.79 / $4,897.79	Facility	53	$83.18	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $389.05 / $1,819.70	Professional		$173.78	$389.05	$1,819.70
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $154.88 / $288.40	Professional	53	$83.18	$154.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,000.00	Professional		$302.00	$524.81	$1,000.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $117.49 / $229.09 / $363.08	Professional	53	$117.49	$229.09	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $501.19 / $2,238.72	Facility		$199.53	$501.19	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $2,754.23	Professional		$346.74	$588.84	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $831.76	Professional		$398.11	$446.68	$831.76
Midlands Facility/Professional Professional Modifier 53 Low / Median / High Price $177.83 / $223.87 / $416.87	Professional	53	$177.83	$223.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $676.08	Professional		$389.05	$389.05	$676.08
Midlands Facility/Professional Professional Modifier 53 Low / Median / High Price $117.49 / $117.49 / $251.19	Professional	53	$117.49	$117.49	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $660.69	Professional		$302.00	$478.63	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $741.31	Professional		$239.88	$407.38	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $794.33	Professional		$354.81	$426.58	$794.33