Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.76 / $495.08 / $495.08	Facility		$484.76	$495.08	$495.08
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.57 / $363.57 / $371.31	Facility	54	$363.57	$363.57	$371.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.58 / $484.76 / $1,177.20	Professional		$409.58	$484.76	$1,177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.01 / $1,126.58 / $1,408.22	Professional		$819.01	$1,126.58	$1,408.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.14 / $791.92 / $1,223.64	Facility		$600.14	$791.92	$1,223.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $503.55 / $1,083.77 / $3,665.28	Professional		$503.55	$1,083.77	$3,665.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $1,070.23 / $1,280.13	Facility		$230.01	$1,070.23	$1,280.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $1,070.23 / $1,304.28	Professional		$781.00	$1,070.23	$1,304.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.87 / $814.95 / $975.53	Professional		$501.87	$814.95	$975.53
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 $445.25 / $855.92 / $1,331.43	Professional		$445.25	$855.92	$1,331.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $951.10 / $1,163.70 / $1,184.09	Professional		$951.10	$1,163.70	$1,184.09