Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $1,067.33 / $2,781.89	Facility		$184.93	$1,067.33	$2,781.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.47 / $92.47 / $216.90	Facility	52	$92.47	$92.47	$216.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.99 / $36.99 / $86.76	Facility	53	$36.99	$36.99	$86.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $433.80 / $719.43	Professional		$212.88	$433.80	$719.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.14 / $553.16 / $1,263.11	Professional		$332.14	$553.16	$1,263.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.94 / $566.37 / $1,203.58	Facility		$239.94	$566.37	$1,203.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.21 / $768.42 / $3,278.48	Professional		$384.21	$768.42	$3,278.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $921.98 / $1,415.13	Facility		$489.60	$921.98	$1,415.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.78 / $674.00 / $1,128.88	Professional		$433.78	$674.00	$1,128.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $558.55 / $843.72	Professional		$327.74	$558.55	$843.72
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 $461.05 / $768.42 / $1,190.48	Professional		$461.05	$768.42	$1,190.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $468.00 / $1,026.30	Professional		$382.50	$468.00	$1,026.30