Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,621.05 / $7,798.46 / $11,537.50	Facility		$4,621.05	$7,798.46	$11,537.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $298.51 / $298.51 / $298.51	Facility	52	$298.51	$298.51	$298.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $119.40 / $119.40 / $119.40	Facility	53	$119.40	$119.40	$119.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.01 / $1,186.56 / $8,175.70	Professional		$597.01	$1,186.56	$8,175.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.18 / $1,433.54 / $1,791.93	Professional		$1,042.18	$1,433.54	$1,791.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.04 / $1,210.76 / $6,026.96	Facility		$659.04	$1,210.76	$6,026.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.46 / $1,259.09 / $4,971.47	Professional		$755.46	$1,259.09	$4,971.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $979.73 / $1,591.53 / $6,721.75	Facility		$979.73	$1,591.53	$6,721.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,459.96 / $1,775.07	Professional		$1,007.00	$1,459.96	$1,775.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.17 / $1,103.09 / $1,297.68	Professional		$818.17	$1,103.09	$1,297.68
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $245.41 / $245.41 / $245.41	Professional	80	$245.41	$245.41	$245.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $245.41 / $245.41 / $245.41	Professional	AS	$245.41	$245.41	$245.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.46 / $1,213.45 / $1,779.51	Professional		$755.46	$1,213.45	$1,779.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,287.40 / $1,575.10 / $1,575.10	Professional		$1,287.40	$1,575.10	$1,575.10