Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.07 / $484.73 / $484.73	Facility		$437.07	$484.73	$484.73
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $327.80 / $327.80 / $363.55	Facility	54	$327.80	$327.80	$363.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $437.07 / $754.37	Professional		$389.30	$437.07	$754.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.68 / $1,071.64 / $1,384.85	Professional		$766.68	$1,071.64	$1,384.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.90 / $741.42 / $1,121.36	Facility		$587.90	$741.42	$1,121.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $1,053.23 / $3,572.56	Professional		$493.20	$1,053.23	$3,572.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $889.22 / $1,073.33 / $1,969.98	Facility		$889.22	$1,073.33	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $767.00 / $960.75 / $1,247.89	Professional		$767.00	$960.75	$1,247.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $557.78 / $768.77 / $952.24	Professional		$557.78	$768.77	$952.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.09 / $837.57 / $1,295.28	Professional		$436.09	$837.57	$1,295.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $856.70 / $1,048.20 / $1,155.80	Professional		$856.70	$1,048.20	$1,155.80