Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.15 / $1,594.12 / $4,468.25	Facility		$434.15	$1,594.12	$4,468.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $391.15 / $391.15 / $415.69	Facility	54	$391.15	$391.15	$415.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $567.14 / $1,539.96	Professional		$521.53	$567.14	$1,539.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.27 / $1,264.48 / $1,580.60	Professional		$919.27	$1,264.48	$1,580.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.38 / $880.48 / $1,399.10	Facility		$672.38	$880.48	$1,399.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $584.36 / $1,224.83 / $4,098.39	Professional		$584.36	$1,224.83	$4,098.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,063.20 / $1,281.09 / $1,969.98	Facility		$1,063.20	$1,281.09	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $946.00 / $1,154.70 / $1,443.25	Professional		$946.00	$1,154.70	$1,443.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $583.34 / $903.95 / $1,092.60	Professional		$583.34	$903.95	$1,092.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.21 / $961.18 / $1,495.17	Professional		$566.21	$961.18	$1,495.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,022.30 / $1,250.80 / $1,326.20	Professional		$1,022.30	$1,250.80	$1,326.20