Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $250.15 / $250.15	Facility		$246.95	$250.15	$250.15
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.21 / $185.21 / $187.61	Facility	54	$185.21	$185.21	$187.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $215.36 / $404.53	Professional		$200.78	$215.36	$404.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.77 / $570.29 / $712.88	Professional		$411.77	$570.29	$712.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $385.66 / $581.73	Facility		$302.95	$385.66	$581.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.48 / $520.78 / $1,833.36	Professional		$232.48	$520.78	$1,833.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $520.78 / $646.00	Facility		$230.01	$520.78	$646.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $519.16 / $655.74	Professional		$351.00	$519.16	$655.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $247.38 / $411.88 / $487.76	Professional		$247.38	$411.88	$487.76
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 $242.15 / $498.64 / $644.64	Professional		$242.15	$498.64	$644.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $480.70 / $588.10 / $592.00	Professional		$480.70	$588.10	$592.00