Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $5,219.46 / $7,545.48	Facility		$145.61	$5,219.46	$7,545.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.81 / $72.81 / $201.00	Facility	52	$72.81	$72.81	$201.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.12 / $29.12 / $80.40	Facility	53	$29.12	$29.12	$80.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $567.37 / $1,205.09	Professional		$158.30	$567.37	$1,205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $632.66 / $1,087.82	Professional		$345.92	$632.66	$1,087.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $534.09 / $2,840.96	Facility		$202.27	$534.09	$2,840.96
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,644.83 / $6,644.83 / $6,644.83	Facility	50	$6,644.83	$6,644.83	$6,644.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.14 / $1,232.96 / $4,715.39	Professional		$591.14	$1,232.96	$4,715.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $381.17 / $981.24 / $2,896.79	Facility		$381.17	$981.24	$2,896.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $337.70 / $742.96 / $1,099.11	Professional		$337.70	$742.96	$1,099.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $585.13 / $800.10	Professional		$255.15	$585.13	$800.10
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 $265.20 / $828.11 / $1,288.17	Professional		$265.20	$828.11	$1,288.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $297.80 / $364.30 / $880.20	Professional		$297.80	$364.30	$880.20