Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.78 / $242.63 / $11,144.99	Facility		$103.78	$242.63	$11,144.99
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $77.84 / $77.84 / $93.73	Facility	54	$77.84	$77.84	$93.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $122.78 / $323.95	Professional		$88.83	$122.78	$323.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $296.83 / $371.05	Professional		$215.80	$296.83	$371.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.39 / $182.42 / $322.39	Facility		$125.39	$182.42	$322.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $288.14 / $950.56	Professional		$128.36	$288.14	$950.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.12 / $226.88 / $321.20	Facility		$142.12	$226.88	$321.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $238.36 / $329.67	Professional		$173.00	$238.36	$329.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $192.05 / $248.41	Professional		$125.49	$192.05	$248.41
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $254.98 / $339.30	Professional		$140.03	$254.98	$339.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $235.00 / $278.60	Professional		$192.10	$235.00	$278.60