Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $211.48 / $211.48	Facility		$197.96	$211.48	$211.48
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $148.47 / $148.47 / $158.61	Facility	54	$148.47	$148.47	$158.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $196.65 / $400.75	Professional		$163.97	$196.65	$400.75
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $126.41 / $148.47 / $374.74	Professional	54	$126.41	$148.47	$374.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.71 / $491.55 / $614.52	Professional		$353.71	$491.55	$614.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.93 / $317.70 / $492.30	Facility		$256.93	$317.70	$492.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $447.86 / $1,554.96	Professional		$198.89	$447.86	$1,554.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $440.33 / $530.70	Facility		$230.01	$440.33	$530.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $419.15 / $530.70	Professional		$307.00	$419.15	$530.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $332.69 / $416.60	Professional		$207.93	$332.69	$416.60
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 $215.17 / $391.22 / $551.52	Professional		$215.17	$391.22	$551.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $475.00 / $505.70	Professional		$388.30	$475.00	$505.70