Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $4,073.80	Facility		$1,288.25	$2,630.27	$4,073.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $91.20 / $169.82	Facility	53	$87.10	$91.20	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $954.99	Professional		$169.82	$346.74	$954.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $60.26 / $125.89 / $218.78	Professional	53	$60.26	$125.89	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $467.74	Professional		$194.98	$371.54	$467.74
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $107.15 / $147.91 / $251.19	Professional	53	$107.15	$147.91	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $371.54 / $954.99	Facility		$190.55	$371.54	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $2,187.76	Professional		$346.74	$524.81	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $776.25	Professional		$263.03	$416.87	$776.25
Midlands Facility/Professional Professional Modifier 53 Low / Median / High Price $131.83 / $208.93 / $389.05	Professional	53	$131.83	$208.93	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $676.08	Professional		$389.05	$389.05	$676.08
Midlands Facility/Professional Professional Modifier 53 Low / Median / High Price $109.65 / $109.65 / $239.88	Professional	53	$109.65	$109.65	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $660.69	Professional		$302.00	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $741.31	Professional		$239.88	$407.38	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $794.33	Professional		$354.81	$426.58	$794.33