Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.68 / $519.58 / $519.58	Facility		$462.68	$519.58	$519.58
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $347.01 / $347.01 / $389.69	Facility	54	$347.01	$347.01	$389.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $457.38 / $808.20	Professional		$413.35	$457.38	$808.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.76 / $1,187.98 / $1,485.16	Professional		$863.76	$1,187.98	$1,485.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.26 / $788.18 / $1,169.69	Facility		$631.26	$788.18	$1,169.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.85 / $1,127.63 / $3,835.28	Professional		$527.85	$1,127.63	$3,835.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $745.75 / $1,149.19 / $1,969.98	Facility		$745.75	$1,149.19	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $821.00 / $1,027.64 / $1,339.95	Professional		$821.00	$1,027.64	$1,339.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $556.91 / $827.95 / $1,021.46	Professional		$556.91	$827.95	$1,021.46
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 $536.61 / $975.66 / $1,382.02	Professional		$536.61	$975.66	$1,382.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $906.20 / $1,108.70 / $1,239.80	Professional		$906.20	$1,108.70	$1,239.80