Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.69 / $487.62 / $944.30	Facility		$435.69	$487.62	$944.30
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $326.77 / $326.77 / $365.72	Facility	54	$326.77	$326.77	$365.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $432.97 / $760.66	Professional		$393.50	$432.97	$760.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.08 / $1,115.53 / $1,394.59	Professional		$811.08	$1,115.53	$1,394.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.48 / $750.16 / $1,130.10	Facility		$592.48	$750.16	$1,130.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $502.29 / $1,062.13 / $3,606.48	Professional		$502.29	$1,062.13	$3,606.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $699.55 / $1,081.51 / $1,969.98	Facility		$699.55	$1,081.51	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $788.00 / $972.34 / $1,255.65	Professional		$788.00	$972.34	$1,255.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $567.24 / $775.73 / $961.29	Professional		$567.24	$775.73	$961.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.84 / $833.38 / $1,296.36	Professional		$446.84	$833.38	$1,296.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $857.40 / $1,049.00 / $1,166.80	Professional		$857.40	$1,049.00	$1,166.80