Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $926.21 / $4,484.95	Facility		$192.58	$926.21	$4,484.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.29 / $96.29 / $463.11	Facility	52	$96.29	$96.29	$463.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.52 / $38.52 / $185.24	Facility	53	$38.52	$38.52	$185.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $308.89 / $1,344.11	Professional		$186.41	$308.89	$1,344.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.54 / $1,492.46 / $2,566.16	Professional		$449.54	$1,492.46	$2,566.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.86 / $843.47 / $2,183.02	Facility		$245.86	$843.47	$2,183.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $935.33 / $1,888.26 / $6,599.52	Professional		$935.33	$1,888.26	$6,599.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $498.70 / $1,439.82 / $2,372.15	Facility		$498.70	$1,439.82	$2,372.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $1,427.81 / $2,383.28	Professional		$437.40	$1,427.81	$2,383.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.86 / $929.86 / $1,687.76	Professional		$289.86	$929.86	$1,687.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.15 / $1,629.14 / $2,534.21	Professional		$956.15	$1,629.14	$2,534.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $471.90 / $2,048.60	Professional		$385.70	$471.90	$2,048.60