Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $1,288.25	Facility		$302.00	$398.11	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $645.65	Professional		$269.15	$457.09	$645.65
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $602.56 / $602.56 / $724.44	Professional	54	$602.56	$602.56	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $933.25	Professional		$537.03	$741.31	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $741.31	Facility		$363.08	$489.78	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $602.56 / $2,344.23	Professional		$288.40	$602.56	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $660.69	Professional		$602.56	$630.96	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $645.65	Professional		$575.44	$602.56	$645.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $660.69	Professional		$309.03	$524.81	$660.69
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 $316.23 / $537.03 / $831.76	Professional		$316.23	$537.03	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $758.58	Professional		$588.84	$724.44	$758.58