Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.09 / $547.24 / $2,091.51	Facility		$497.09	$547.24	$2,091.51
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $372.82 / $372.82 / $410.43	Facility	54	$372.82	$372.82	$410.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $497.09 / $1,299.13	Professional		$455.06	$497.09	$1,299.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.67 / $1,245.61 / $1,557.23	Professional		$905.67	$1,245.61	$1,557.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.87 / $846.52 / $1,286.64	Facility		$662.87	$846.52	$1,286.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.85 / $1,211.59 / $4,043.60	Professional		$572.85	$1,211.59	$4,043.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $802.79 / $1,222.35 / $1,969.98	Facility		$802.79	$1,222.35	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $1,114.34 / $1,430.70	Professional		$888.00	$1,114.34	$1,430.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.70 / $892.93 / $1,077.08	Professional		$612.70	$892.93	$1,077.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.03 / $861.41 / $1,479.02	Professional		$473.03	$861.41	$1,479.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $975.50 / $1,193.50 / $1,307.40	Professional		$975.50	$1,193.50	$1,307.40