Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.25 / $34,670.25 / $38,171.44	Facility		$954.25	$34,670.25	$38,171.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $190.85 / $190.85 / $190.85	Facility	53	$190.85	$190.85	$190.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.37 / $966.62 / $2,969.10	Professional		$828.37	$966.62	$2,969.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.10 / $1,785.58 / $2,200.13	Professional		$1,760.10	$1,785.58	$2,200.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,192.95 / $1,612.68 / $26,176.68	Facility		$1,192.95	$1,612.68	$26,176.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,284.42 / $2,150.54 / $6,806.64	Professional		$1,284.42	$2,150.54	$6,806.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,104.96 / $2,181.17 / $2,817.66	Facility		$2,104.96	$2,181.17	$2,817.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,647.90 / $2,516.07 / $2,817.66	Professional		$1,647.90	$2,516.07	$2,817.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,319.36 / $1,703.67 / $1,937.23	Professional		$1,319.36	$1,703.67	$1,937.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,150.00 / $7,150.00 / $7,150.00	Facility		$7,150.00	$7,150.00	$7,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.25 / $1,935.63 / $3,016.55	Professional		$1,198.25	$1,935.63	$3,016.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,849.60 / $2,176.00 / $2,263.10	Professional		$1,849.60	$2,176.00	$2,263.10