Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.97 / $4,784.39 / $6,455.70	Facility		$688.97	$4,784.39	$6,455.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $344.49 / $344.49 / $344.49	Facility	52	$344.49	$344.49	$344.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.97 / $897.87 / $1,178.71	Professional		$688.97	$897.87	$1,178.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.95 / $1,630.66 / $2,038.32	Professional		$1,590.95	$1,630.66	$2,038.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $888.32 / $1,164.35 / $2,261.41	Facility		$888.32	$1,164.35	$2,261.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,008.08 / $1,680.14 / $5,421.36	Professional		$1,008.08	$1,680.14	$5,421.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,398.00 / $1,905.48 / $4,555.17	Facility		$1,398.00	$1,905.48	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,595.92 / $1,927.59	Professional		$1,305.00	$1,595.92	$1,927.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $931.36 / $1,343.52 / $1,414.12	Professional		$931.36	$1,343.52	$1,414.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $940.34 / $1,305.84 / $2,031.32	Professional		$940.34	$1,305.84	$2,031.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,402.90 / $1,650.40 / $1,716.40	Professional		$1,402.90	$1,650.40	$1,716.40