Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $283.91 / $283.91	Facility		$271.45	$283.91	$283.91
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.60 / $203.60 / $212.93	Facility	54	$203.60	$203.60	$212.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $254.30 / $438.50	Professional		$231.18	$254.30	$438.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.34 / $655.22 / $819.03	Professional		$476.34	$655.22	$819.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.09 / $435.95 / $661.92	Facility		$345.09	$435.95	$661.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $606.04 / $2,084.23	Professional		$273.60	$606.04	$2,084.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $600.44 / $719.83	Facility		$230.01	$600.44	$719.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $579.76 / $720.59	Professional		$421.00	$579.76	$720.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $308.22 / $453.67 / $557.63	Professional		$308.22	$453.67	$557.63
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 $241.92 / $489.03 / $747.80	Professional		$241.92	$489.03	$747.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $529.40 / $647.79 / $676.80	Professional		$529.40	$647.79	$676.80