Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.93 / $3,240.07 / $5,935.44	Facility		$656.93	$3,240.07	$5,935.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.52 / $92.52 / $212.27	Facility	52	$92.52	$92.52	$212.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.01 / $37.01 / $84.91	Facility	53	$37.01	$37.01	$84.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $463.04 / $1,955.00	Professional		$188.41	$463.04	$1,955.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $83.67 / $94.00 / $215.08	Professional	52	$83.67	$94.00	$215.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $33.47 / $75.36 / $86.03	Professional	53	$33.47	$75.36	$86.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $553.16 / $1,237.80	Professional		$350.68	$553.16	$1,237.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $681.77 / $2,617.23	Facility		$275.08	$681.77	$2,617.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.75 / $771.16 / $3,212.16	Professional		$343.75	$771.16	$3,212.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $471.61 / $943.53 / $1,386.97	Facility		$471.61	$943.53	$1,386.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.78 / $825.00 / $1,137.32	Professional		$433.78	$825.00	$1,137.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $565.50 / $826.61	Professional		$327.74	$565.50	$826.61
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 $442.53 / $771.16 / $1,199.58	Professional		$442.53	$771.16	$1,199.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $468.00 / $1,006.60	Professional		$382.50	$468.00	$1,006.60