Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.73 / $439.54 / $3,343.28	Facility		$394.73	$439.54	$3,343.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.05 / $296.05 / $329.66	Facility	54	$296.05	$296.05	$329.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.39 / $388.57 / $684.14	Professional		$354.39	$388.57	$684.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.65 / $1,005.69 / $1,257.27	Professional		$681.65	$1,005.69	$1,257.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.63 / $668.63 / $998.91	Facility		$530.63	$668.63	$998.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $959.64 / $3,238.80	Professional		$451.35	$959.64	$3,238.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $876.26 / $1,133.06	Facility		$230.01	$876.26	$1,133.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $872.75 / $1,133.06	Professional		$702.00	$872.75	$1,133.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $446.79 / $697.98 / $862.32	Professional		$446.79	$697.98	$862.32
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 $453.99 / $866.71 / $1,178.27	Professional		$453.99	$866.71	$1,178.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $945.40 / $1,046.70	Professional		$772.70	$945.40	$1,046.70