Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.79 / $655.80 / $655.80	Facility		$238.79	$655.80	$655.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.40 / $119.40 / $327.90	Facility	52	$119.40	$119.40	$327.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.76 / $47.76 / $131.16	Facility	53	$47.76	$47.76	$131.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.47 / $578.29 / $950.55	Professional		$260.47	$578.29	$950.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.53 / $712.88 / $1,883.47	Professional		$461.53	$712.88	$1,883.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.82 / $825.00 / $1,558.27	Facility		$309.82	$825.00	$1,558.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $772.81 / $1,513.89 / $4,908.96	Professional		$772.81	$1,513.89	$4,908.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $632.54 / $1,107.68 / $1,850.46	Facility		$632.54	$1,107.68	$1,850.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.76 / $1,039.00 / $1,850.46	Professional		$556.76	$1,039.00	$1,850.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $420.67 / $874.88 / $1,253.69	Professional		$420.67	$874.88	$1,253.69
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 $614.13 / $1,279.58 / $1,990.46	Professional		$614.13	$1,279.58	$1,990.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $490.90 / $600.70 / $1,521.70	Professional		$490.90	$600.70	$1,521.70