Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.02 / $581.02 / $4,338.00	Facility		$581.02	$581.02	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $290.51 / $290.51 / $290.51	Facility	52	$290.51	$290.51	$290.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $116.20 / $116.20 / $116.20	Facility	53	$116.20	$116.20	$116.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.71 / $581.02 / $1,568.18	Professional		$507.71	$581.02	$1,568.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $1,104.48 / $1,360.91	Professional		$1,088.72	$1,104.48	$1,360.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.46 / $907.24 / $1,470.91	Facility		$566.46	$907.24	$1,470.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $677.06 / $1,128.44 / $3,571.80	Professional		$677.06	$1,128.44	$3,571.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,109.19 / $1,354.09 / $10,491.24	Facility		$1,109.19	$1,354.09	$10,491.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,022.09 / $1,342.01 / $1,540.87	Professional		$1,022.09	$1,342.01	$1,540.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $745.57 / $976.50 / $1,113.31	Professional		$745.57	$976.50	$1,113.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.06 / $1,014.50 / $1,183.58	Professional		$677.06	$1,014.50	$1,183.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.30 / $1,351.00 / $1,405.00	Professional		$1,148.30	$1,351.00	$1,405.00