Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $2,290.87	Facility		$269.15	$354.81	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $724.44	Professional		$295.12	$537.03	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $1,047.13 / $1,047.13	Professional	50	$812.83	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $380.19 / $794.33	Professional	54	$239.88	$380.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,047.13	Professional		$575.44	$851.14	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $812.83	Facility		$407.38	$549.54	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $676.08 / $2,630.27	Professional		$302.00	$676.08	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $741.31	Professional		$676.08	$707.95	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $724.44	Professional		$630.96	$676.08	$724.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $741.31	Professional		$346.74	$588.84	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $933.25	Professional		$338.84	$602.56	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $851.14	Professional		$660.69	$812.83	$851.14