Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.20 / $396.82 / $396.82	Facility		$392.20	$396.82	$396.82
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.14 / $294.14 / $297.62	Facility	54	$294.14	$294.14	$297.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $392.20 / $948.33	Professional		$331.25	$392.20	$948.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.59 / $904.54 / $1,130.67	Professional		$657.59	$904.54	$1,130.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.90 / $664.46 / $1,000.12	Facility		$480.90	$664.46	$1,000.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.19 / $875.76 / $2,941.28	Professional		$412.19	$875.76	$2,941.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $873.35 / $1,036.26	Facility		$230.01	$873.35	$1,036.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $873.35 / $1,056.86	Professional		$642.00	$873.35	$1,056.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $473.09 / $662.08 / $785.34	Professional		$473.09	$662.08	$785.34
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 $364.88 / $688.73 / $1,071.35	Professional		$364.88	$688.73	$1,071.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $945.40 / $953.20	Professional		$772.70	$945.40	$953.20