Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.99 / $327.80 / $944.30	Facility		$298.99	$327.80	$944.30
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.24 / $224.24 / $245.85	Facility	54	$224.24	$224.24	$245.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $298.99 / $586.70	Professional		$259.72	$298.99	$586.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.14 / $752.51 / $940.76	Professional		$547.14	$752.51	$940.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $396.54 / $497.25 / $759.80	Facility		$396.54	$497.25	$759.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $712.92 / $2,406.08	Professional		$327.60	$712.92	$2,406.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $657.20 / $839.20	Facility		$230.01	$657.20	$839.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $650.34 / $839.20	Professional		$508.00	$650.34	$839.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.77 / $523.91 / $638.49	Professional		$338.77	$523.91	$638.49
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 $289.67 / $563.13 / $875.98	Professional		$289.67	$563.13	$875.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $579.50 / $709.00 / $775.00	Professional		$579.50	$709.00	$775.00