Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $473.66 / $2,290.00	Facility		$473.66	$473.66	$2,290.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.25 / $355.25 / $355.25	Facility	54	$355.25	$355.25	$355.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.98 / $473.66 / $1,150.00	Professional		$399.98	$473.66	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.32 / $1,082.17 / $1,352.71	Professional		$831.32	$1,082.17	$1,352.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.53 / $777.40 / $1,186.63	Facility		$592.53	$777.40	$1,186.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.16 / $943.01 / $3,514.08	Professional		$446.16	$943.01	$3,514.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $690.44 / $1,164.76 / $1,969.98	Facility		$690.44	$1,164.76	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $690.44 / $954.79 / $1,258.58	Professional		$690.44	$954.79	$1,258.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $566.78 / $779.26 / $938.65	Professional		$566.78	$779.26	$938.65
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 $493.96 / $898.10 / $1,291.85	Professional		$493.96	$898.10	$1,291.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $931.20 / $1,139.30 / $1,139.30	Professional		$931.20	$1,139.30	$1,139.30