Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.41 / $220.11 / $220.11	Facility		$198.41	$220.11	$220.11
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $148.81 / $148.81 / $165.08	Facility	54	$148.81	$148.81	$165.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $199.28 / $339.26	Professional		$176.38	$199.28	$339.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.86 / $508.69 / $635.94	Professional		$369.86	$508.69	$635.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.01 / $335.31 / $513.12	Facility		$269.01	$335.31	$513.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $487.47 / $1,621.44	Professional		$225.90	$487.47	$1,621.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $438.12 / $559.16	Facility		$230.01	$438.12	$559.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $438.12 / $559.16	Professional		$348.00	$438.12	$559.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $358.56 / $428.25	Professional		$217.22	$358.56	$428.25
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 $236.89 / $430.70 / $595.50	Professional		$236.89	$430.70	$595.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $471.10 / $519.79	Professional		$385.00	$471.10	$519.79