Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.56 / $209.23 / $929.28	Facility		$115.56	$209.23	$929.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.85 / $133.85 / $156.91	Facility	54	$133.85	$133.85	$156.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $178.90 / $569.60	Professional		$144.28	$178.90	$569.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.74 / $492.39 / $615.49	Professional		$383.74	$492.39	$615.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.62 / $303.47 / $536.96	Facility		$224.62	$303.47	$536.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $509.48 / $1,602.24	Professional		$188.16	$509.48	$1,602.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $415.07 / $563.12	Facility		$212.01	$415.07	$563.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $418.47 / $565.55	Professional		$284.00	$418.47	$565.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $339.42 / $416.60	Professional		$215.86	$339.42	$416.60
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 $224.17 / $407.58 / $582.85	Professional		$224.17	$407.58	$582.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $403.30 / $467.20	Professional		$329.60	$403.30	$467.20