Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.27 / $322.87 / $322.87	Facility		$251.27	$322.87	$322.87
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $188.45 / $188.45 / $242.15	Facility	54	$188.45	$188.45	$242.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $290.12 / $786.60	Professional		$243.80	$290.12	$786.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $816.32 / $816.32 / $1,040.74	Professional	50	$816.32	$816.32	$1,040.74
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $154.63 / $197.32 / $391.33	Professional	54	$154.63	$197.32	$391.33
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $30.93 / $39.46 / $78.27	Professional	55	$30.93	$39.46	$78.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.94 / $673.92 / $856.04	Professional		$489.94	$673.92	$856.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.85 / $377.93 / $770.54	Facility		$218.85	$377.93	$770.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.44 / $547.15 / $931.73	Professional		$260.44	$547.15	$931.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.86 / $641.17 / $818.64	Facility		$315.86	$641.17	$818.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $508.73 / $631.00 / $796.25	Professional		$508.73	$631.00	$796.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $300.58 / $452.18 / $569.91	Professional		$300.58	$452.18	$569.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.73 / $591.22 / $843.22	Professional		$354.73	$591.22	$843.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $539.20 / $679.60	Professional		$518.40	$539.20	$679.60