Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.66 / $126.37 / $126.37	Facility		$125.66	$126.37	$126.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $94.25 / $94.25 / $94.78	Facility	54	$94.25	$94.25	$94.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $123.60 / $279.89	Professional		$107.61	$123.60	$279.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $80.48 / $94.25 / $221.59	Professional	54	$80.48	$94.25	$221.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $292.94 / $366.18	Professional		$212.97	$292.94	$366.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $201.68 / $317.08	Facility		$154.58	$201.68	$317.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $275.89 / $931.20	Professional		$123.30	$275.89	$931.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.32 / $275.89 / $367.07	Facility		$173.32	$275.89	$367.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $275.89 / $327.87	Professional		$188.97	$275.89	$327.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $206.55 / $245.82	Professional		$124.37	$206.55	$245.82
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 $108.89 / $229.81 / $342.36	Professional		$108.89	$229.81	$342.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $298.39 / $298.39	Professional		$243.90	$298.39	$298.39