Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.27 / $148.41 / $148.41	Facility		$130.27	$148.41	$148.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $97.70 / $97.70 / $111.31	Facility	54	$97.70	$97.70	$111.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $132.15 / $227.42	Professional		$113.84	$132.15	$227.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.92 / $345.14 / $431.43	Professional		$250.92	$345.14	$431.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.65 / $220.61 / $345.21	Facility		$179.65	$220.61	$345.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $329.87 / $1,086.00	Professional		$143.10	$329.87	$1,086.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.01 / $286.02 / $372.49	Facility		$218.01	$286.02	$372.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $287.39 / $372.91	Professional		$221.08	$287.39	$372.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $241.54 / $288.52	Professional		$146.05	$241.54	$288.52
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 $127.43 / $257.83 / $401.07	Professional		$127.43	$257.83	$401.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $308.60 / $350.20	Professional		$252.20	$308.60	$350.20