Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.50 / $1,661.54 / $2,408.21	Facility		$264.50	$1,661.54	$2,408.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.28 / $19.28 / $52.90	Facility	53	$19.28	$19.28	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $238.18 / $720.90	Professional		$94.12	$238.18	$720.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $280.48 / $745.01	Professional		$204.90	$280.48	$745.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $318.20 / $606.94	Facility		$139.43	$318.20	$606.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.41 / $572.66 / $1,921.76	Professional		$233.41	$572.66	$1,921.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.29 / $555.13 / $873.61	Facility		$232.29	$555.13	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $369.15 / $638.22	Professional		$204.90	$369.15	$638.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $307.49 / $493.58	Professional		$143.24	$307.49	$493.58
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 $227.40 / $488.74 / $725.17	Professional		$227.40	$488.74	$725.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $233.20 / $599.10	Professional		$190.60	$233.20	$599.10