Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.87 / $362.25 / $362.25	Facility		$334.87	$362.25	$362.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.15 / $251.15 / $271.69	Facility	54	$251.15	$251.15	$271.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $316.98 / $560.32	Professional		$288.17	$316.98	$560.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.32 / $833.53 / $1,042.05	Professional		$591.32	$833.53	$1,042.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.40 / $549.54 / $822.82	Facility		$440.40	$549.54	$822.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.20 / $781.72 / $2,663.36	Professional		$358.20	$781.72	$2,663.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $721.11 / $927.18	Facility		$230.01	$721.11	$927.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $721.11 / $927.18	Professional		$555.00	$721.11	$927.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $574.40 / $710.30	Professional		$379.47	$574.40	$710.30
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 $374.59 / $724.34 / $961.18	Professional		$374.59	$724.34	$961.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $653.29 / $799.30 / $862.10	Professional		$653.29	$799.30	$862.10