Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,348.96 / $4,897.79	Facility		$239.88	$1,348.96	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $229.09 / $676.08	Professional		$74.13	$229.09	$676.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	52	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $26.30 / $134.90 / $134.90	Professional	53	$26.30	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $660.69	Professional		$181.97	$436.52	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $316.23 / $1,778.28	Facility		$102.33	$316.23	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $1,778.28	Professional		$181.97	$331.13	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $478.63	Professional		$173.78	$190.55	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $436.52	Professional		$169.82	$169.82	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $426.58	Professional		$131.83	$281.84	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $524.81	Professional		$123.03	$213.80	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $512.86	Professional		$154.88	$186.21	$512.86