Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $3,257.76 / $5,756.98	Facility		$282.27	$3,257.76	$5,756.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.13 / $141.13 / $141.13	Facility	52	$141.13	$141.13	$141.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.46 / $56.46 / $56.46	Facility	53	$56.46	$56.46	$56.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $337.98 / $461.04	Professional		$282.27	$337.98	$461.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $666.13 / $832.66	Professional		$654.29	$666.13	$832.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.78 / $477.05 / $814.44	Facility		$363.78	$477.05	$814.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.02 / $601.70 / $2,853.12	Professional		$361.02	$601.70	$2,853.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $785.33 / $3,079.87	Facility		$549.00	$785.33	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $654.29 / $792.65	Professional		$508.00	$654.29	$792.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $378.41 / $505.93 / $581.55	Professional		$378.41	$505.93	$581.55
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 $361.02 / $594.52 / $839.27	Professional		$361.02	$594.52	$839.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $576.90 / $678.70 / $705.90	Professional		$576.90	$678.70	$705.90