Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.71 / $2,846.90 / $4,244.38	Facility		$911.71	$2,846.90	$4,244.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.48 / $88.48 / $171.66	Facility	52	$88.48	$88.48	$171.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.39 / $68.66 / $171.48	Facility	53	$35.39	$68.66	$171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $360.18 / $1,400.86	Professional		$170.41	$360.18	$1,400.86
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $55.06 / $96.08 / $183.28	Professional	53	$55.06	$96.08	$183.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $301.45 / $468.28	Professional		$195.75	$301.45	$468.28
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $110.18 / $143.83 / $245.51	Professional	53	$110.18	$143.83	$245.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.43 / $383.56 / $733.84	Facility		$240.43	$383.56	$733.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.58 / $624.29 / $2,206.53	Professional		$374.58	$624.29	$2,206.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $385.44 / $587.03 / $953.00	Facility		$385.44	$587.03	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $486.40 / $754.09	Professional		$295.60	$486.40	$754.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $474.41 / $645.94	Professional		$301.35	$474.41	$645.94
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 $375.33 / $606.00 / $925.34	Professional		$375.33	$606.00	$925.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $430.30 / $795.40	Professional		$351.70	$430.30	$795.40