Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $227.93 / $227.93	Facility		$213.71	$227.93	$227.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $160.28 / $160.28 / $170.95	Facility	54	$160.28	$160.28	$170.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $196.40 / $386.12	Professional		$175.61	$196.40	$386.12
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $136.22 / $160.28 / $396.90	Professional	54	$136.22	$160.28	$396.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $523.49 / $654.44	Professional		$380.62	$523.49	$654.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $351.77 / $533.49	Facility		$276.08	$351.77	$533.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $500.49 / $1,670.64	Professional		$225.45	$500.49	$1,670.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $467.98 / $578.91	Facility		$230.01	$467.98	$578.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $466.20 / $578.91	Professional		$351.00	$466.20	$578.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $364.37 / $440.54	Professional		$232.63	$364.37	$440.54
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 $199.35 / $394.34 / $613.41	Professional		$199.35	$394.34	$613.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $412.60 / $504.90 / $534.70	Professional		$412.60	$504.90	$534.70