Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.91 / $4,321.81 / $8,859.57	Facility		$964.91	$4,321.81	$8,859.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.95 / $102.95 / $648.41	Facility	52	$102.95	$102.95	$648.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.18 / $41.18 / $259.37	Facility	53	$41.18	$41.18	$259.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $368.93 / $3,645.00	Professional		$213.39	$368.93	$3,645.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.40 / $231.74 / $259.37	Professional	53	$38.40	$231.74	$259.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.64 / $632.04 / $3,664.69	Professional		$505.64	$632.04	$3,664.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.89 / $704.50 / $2,747.70	Facility		$300.89	$704.50	$2,747.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,644.94 / $3,791.96 / $9,714.64	Professional		$1,644.94	$3,791.96	$9,714.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $2,040.08 / $4,034.97	Facility		$534.91	$2,040.08	$4,034.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $442.98 / $771.71 / $3,113.33	Professional		$442.98	$771.71	$3,113.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $334.72 / $663.05 / $2,414.23	Professional		$334.72	$663.05	$2,414.23
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 $446.92 / $2,546.84 / $3,961.75	Professional		$446.92	$2,546.84	$3,961.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $535.29 / $2,878.70	Professional		$437.50	$535.29	$2,878.70