Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $171.38 / $171.38	Facility		$148.97	$171.38	$171.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $111.73 / $111.73 / $128.54	Facility	54	$111.73	$111.73	$128.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $147.46 / $304.62	Professional		$131.94	$147.46	$304.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $397.34 / $496.68	Professional		$265.73	$397.34	$496.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.24 / $251.76 / $400.92	Facility		$209.24	$251.76	$400.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $376.26 / $1,264.80	Professional		$160.19	$376.26	$1,264.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $329.21 / $428.14	Facility		$230.01	$329.21	$428.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $330.81 / $428.14	Professional		$247.65	$330.81	$428.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $270.95 / $331.21	Professional		$168.42	$270.95	$331.21
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 $147.69 / $325.38 / $460.40	Professional		$147.69	$325.38	$460.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $287.50 / $351.80 / $402.00	Professional		$287.50	$351.80	$402.00