Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.76 / $250.77 / $250.77	Facility		$218.76	$250.77	$250.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $164.07 / $164.07 / $188.08	Facility	54	$164.07	$164.07	$188.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $250.77 / $515.45	Professional		$209.58	$250.77	$515.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.57 / $575.67 / $719.69	Professional		$418.57	$575.67	$719.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.55 / $370.70 / $580.91	Facility		$304.55	$370.70	$580.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $543.25 / $1,835.84	Professional		$245.08	$543.25	$1,835.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $489.45 / $635.79	Facility		$230.01	$489.45	$635.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.00 / $481.79 / $635.79	Professional		$379.00	$481.79	$635.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $393.96 / $486.47	Professional		$263.61	$393.96	$486.47
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 $216.85 / $430.61 / $669.84	Professional		$216.85	$430.61	$669.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $519.79 / $590.50	Professional		$424.80	$519.79	$590.50