Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.40 / $378.35 / $378.35	Facility		$347.40	$378.35	$378.35
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $260.55 / $260.55 / $283.76	Facility	54	$260.55	$260.55	$283.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $355.50 / $924.12	Professional		$294.50	$355.50	$924.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.05 / $822.95 / $1,090.74	Professional		$614.05	$822.95	$1,090.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $458.83 / $572.80 / $842.04	Facility		$458.83	$572.80	$842.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $809.12 / $2,784.64	Professional		$362.25	$809.12	$2,784.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $740.55 / $957.50	Facility		$230.01	$740.55	$957.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.00 / $740.55 / $957.50	Professional		$556.00	$740.55	$957.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $377.84 / $592.96 / $742.64	Professional		$377.84	$592.96	$742.64
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 $387.23 / $704.06 / $997.92	Professional		$387.23	$704.06	$997.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $678.30 / $830.00 / $901.40	Professional		$678.30	$830.00	$901.40