Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.03 / $745.34 / $745.34	Facility		$642.03	$745.34	$745.34
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $481.52 / $481.52 / $559.01	Facility	54	$481.52	$481.52	$559.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $587.47 / $1,049.10	Professional		$517.96	$587.47	$1,049.10
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $394.91 / $481.52 / $906.63	Professional	54	$394.91	$481.52	$906.63
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $78.98 / $96.30 / $181.33	Professional	55	$78.98	$96.30	$181.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.69 / $1,597.93 / $1,997.42	Professional		$1,161.69	$1,597.93	$1,997.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.54 / $871.18 / $1,684.68	Facility		$526.54	$871.18	$1,684.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.42 / $1,350.26 / $4,491.92	Professional		$595.42	$1,350.26	$4,491.92
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,080.21 / $1,080.21 / $1,080.21	Professional	54	$1,080.21	$1,080.21	$1,080.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.95 / $1,490.89 / $1,818.70	Facility		$867.95	$1,490.89	$1,818.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,037.77 / $1,500.71 / $1,842.32	Professional		$1,037.77	$1,500.71	$1,842.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $695.37 / $1,104.44 / $1,333.91	Professional		$695.37	$1,104.44	$1,333.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.42 / $1,205.83 / $1,925.64	Professional		$595.42	$1,205.83	$1,925.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,386.10 / $1,590.60	Professional		$1,300.00	$1,386.10	$1,590.60