Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $132.56 / $1,853.10	Facility		$58.62	$132.56	$1,853.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.31 / $29.31 / $66.28	Facility	52	$29.31	$29.31	$66.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $122.30 / $445.63	Professional		$57.69	$122.30	$445.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $174.86 / $413.90	Professional		$125.28	$174.86	$413.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.82 / $203.53 / $351.82	Facility		$84.82	$203.53	$351.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.37 / $337.86 / $1,142.11	Professional		$158.37	$337.86	$1,142.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $337.86 / $873.61	Facility		$152.79	$337.86	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $239.31 / $339.49	Professional		$142.27	$239.31	$339.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $194.23 / $283.33	Professional		$106.13	$194.23	$283.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $251.33 / $394.33	Professional		$157.51	$251.33	$394.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $151.50 / $343.90	Professional		$123.90	$151.50	$343.90