Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.25 / $347.35 / $347.35	Facility		$319.25	$347.35	$347.35
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.44 / $239.44 / $260.51	Facility	54	$239.44	$239.44	$260.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $305.93 / $572.16	Professional		$276.68	$305.93	$572.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.38 / $778.06 / $1,005.04	Professional		$567.38	$778.06	$1,005.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.15 / $526.29 / $808.88	Facility		$422.15	$526.29	$808.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $755.63 / $2,561.19	Professional		$345.60	$755.63	$2,561.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $702.11 / $887.67	Facility		$230.01	$702.11	$887.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $693.43 / $887.67	Professional		$535.00	$693.43	$887.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $356.86 / $551.77 / $683.13	Professional		$356.86	$551.77	$683.13
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 $305.58 / $598.03 / $930.27	Professional		$305.58	$598.03	$930.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $764.80 / $829.20	Professional		$625.10	$764.80	$829.20