Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.98 / $2,737.92 / $3,869.68	Facility		$1,525.98	$2,737.92	$3,869.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.53 / $88.53 / $171.71	Facility	52	$88.53	$88.53	$171.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.40 / $68.68 / $171.59	Facility	53	$35.40	$68.68	$171.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $463.05 / $1,400.86	Professional		$177.06	$463.05	$1,400.86
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $55.06 / $100.82 / $276.31	Professional	53	$55.06	$100.82	$276.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $374.63 / $468.28	Professional		$195.75	$374.63	$468.28
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $106.08 / $144.02 / $266.02	Professional	53	$106.08	$144.02	$266.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.57 / $383.84 / $734.12	Facility		$240.57	$383.84	$734.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.77 / $620.96 / $2,208.13	Professional		$371.77	$620.96	$2,208.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $386.88 / $587.58 / $953.00	Facility		$386.88	$587.58	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.76 / $482.88 / $740.14	Professional		$295.76	$482.88	$740.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.89 / $474.41 / $646.58	Professional		$301.89	$474.41	$646.58
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 $390.73 / $679.06 / $926.10	Professional		$390.73	$679.06	$926.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $431.10 / $796.20	Professional		$352.30	$431.10	$796.20