Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.15 / $887.15 / $2,290.00	Facility		$887.15	$887.15	$2,290.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $665.36 / $665.36 / $665.36	Facility	54	$665.36	$665.36	$665.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $722.23 / $5,400.00	Professional		$636.28	$722.23	$5,400.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $108.33 / $133.07 / $215.78	Professional	55	$108.33	$133.07	$215.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.81 / $1,884.64 / $2,355.80	Professional		$1,710.81	$1,884.64	$2,355.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.23 / $1,037.48 / $1,978.91	Facility		$722.23	$1,037.48	$1,978.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.40 / $1,416.51 / $2,352.46	Professional		$721.40	$1,416.51	$2,352.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,531.19 / $1,753.58 / $3,141.50	Facility		$1,531.19	$1,753.58	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,145.50 / $1,753.58 / $2,191.81	Professional		$1,145.50	$1,753.58	$2,191.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $827.19 / $1,226.54 / $1,571.97	Professional		$827.19	$1,226.54	$1,571.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.01 / $1,492.74 / $2,203.46	Professional		$821.01	$1,492.74	$2,203.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,532.00 / $1,874.40 / $1,874.40	Professional		$1,532.00	$1,874.40	$1,874.40