Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.94 / $253.12 / $253.12	Facility		$244.94	$253.12	$253.12
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.71 / $183.71 / $189.84	Facility	54	$183.71	$183.71	$189.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $224.89 / $379.37	Professional		$210.00	$224.89	$379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.93 / $585.80 / $732.35	Professional		$425.93	$585.80	$732.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $379.59 / $598.00	Facility		$308.42	$379.59	$598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.57 / $540.74 / $1,865.28	Professional		$240.57	$540.74	$1,865.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $540.74 / $646.00	Facility		$230.01	$540.74	$646.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $524.02 / $649.73	Professional		$366.00	$524.02	$649.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $411.33 / $500.70	Professional		$248.71	$411.33	$500.70
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 $250.04 / $415.71 / $646.66	Professional		$250.04	$415.71	$646.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $587.29 / $607.70	Professional		$480.00	$587.29	$607.70