Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $238.64 / $365.69	Facility		$233.30	$238.64	$365.69
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $174.98 / $174.98 / $178.98	Facility	54	$174.98	$174.98	$178.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $202.36 / $385.25	Professional		$197.47	$202.36	$385.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.58 / $552.38 / $690.48	Professional		$401.58	$552.38	$690.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $359.24 / $562.58	Facility		$290.69	$359.24	$562.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $505.51 / $1,757.60	Professional		$226.73	$505.51	$1,757.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $505.51 / $646.00	Facility		$230.01	$505.51	$646.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $495.15 / $619.71	Professional		$343.00	$495.15	$619.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $392.08 / $472.24	Professional		$234.01	$392.08	$472.24
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 $236.08 / $429.24 / $611.17	Professional		$236.08	$429.24	$611.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.60 / $559.79 / $573.20	Professional		$457.60	$559.79	$573.20