Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $69.08 / $69.08	Facility		$40.84	$69.08	$69.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $80.20 / $166.50	Professional		$47.06	$80.20	$166.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.01 / $31.90 / $65.98	Professional	52	$19.01	$31.90	$65.98
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.60 / $12.76 / $26.39	Professional	53	$7.60	$12.76	$26.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $125.63 / $210.36	Professional		$100.50	$125.63	$210.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $98.48 / $194.58	Facility		$54.62	$98.48	$194.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $181.62 / $552.16	Professional		$90.85	$181.62	$552.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.51 / $132.00 / $197.26	Facility		$85.51	$132.00	$197.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $130.94 / $197.26	Professional		$106.94	$130.94	$197.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $105.51 / $144.26	Professional		$67.00	$105.51	$144.26
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $121.99 / $189.76	Professional		$90.85	$121.99	$189.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $106.40 / $172.00	Professional		$87.00	$106.40	$172.00