Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $625.34 / $4,338.00	Facility		$75.29	$625.34	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.65 / $37.65 / $120.55	Facility	52	$37.65	$37.65	$120.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.06 / $15.06 / $48.22	Facility	53	$15.06	$15.06	$48.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $233.40 / $655.20	Professional		$74.42	$233.40	$655.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.89 / $105.95 / $120.55	Professional	52	$33.89	$105.95	$120.55
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $13.56 / $42.38 / $48.22	Professional	53	$13.56	$42.38	$48.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $246.10 / $640.80	Professional		$177.63	$246.10	$640.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $326.39 / $594.29	Facility		$114.55	$326.39	$594.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $463.82 / $1,775.04	Professional		$197.12	$463.82	$1,775.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.39 / $473.90 / $746.06	Facility		$197.39	$473.90	$746.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $347.00 / $647.34	Professional		$173.95	$347.00	$647.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.43 / $281.41 / $426.31	Professional		$131.43	$281.41	$426.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.94 / $1,334.94 / $1,643.00	Facility		$1,334.94	$1,334.94	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $502.61 / $593.79	Professional		$222.03	$502.61	$593.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $187.70 / $517.40	Professional		$153.40	$187.70	$517.40