Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $94.40 / $435.38	Facility		$56.10	$94.40	$435.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.05 / $28.05 / $47.20	Facility	52	$28.05	$28.05	$47.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.22 / $11.22 / $18.88	Facility	53	$11.22	$11.22	$18.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $112.43 / $352.53	Professional		$86.99	$112.43	$352.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.17 / $43.50 / $123.03	Professional	52	$26.17	$43.50	$123.03
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.47 / $18.88 / $55.08	Professional	53	$10.47	$18.88	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $174.14 / $283.39	Professional		$137.12	$174.14	$283.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.35 / $147.01 / $277.77	Facility		$82.35	$147.01	$277.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $259.20 / $753.20	Professional		$128.56	$259.20	$753.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $194.00 / $262.66	Facility		$121.61	$194.00	$262.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $196.00 / $262.51	Professional		$137.54	$196.00	$262.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $144.13 / $194.72	Professional		$91.15	$144.13	$194.72
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 $128.56 / $174.10 / $270.82	Professional		$128.56	$174.10	$270.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $145.80 / $232.20	Professional		$119.20	$145.80	$232.20