Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.01 / $360.11 / $695.00	Facility		$334.01	$360.11	$695.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $733.78 / $879.69 / $1,134.99	Facility	50	$733.78	$879.69	$1,134.99
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.51 / $270.08 / $682.48	Facility	54	$250.51	$270.08	$682.48
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $50.10 / $50.10 / $54.02	Facility	55	$50.10	$50.10	$54.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $331.64 / $761.83	Professional		$269.14	$331.64	$761.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.06 / $916.41 / $1,234.15	Professional	50	$459.06	$916.41	$1,234.15
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $205.27 / $250.51 / $436.79	Professional	54	$205.27	$250.51	$436.79
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $41.05 / $54.02 / $87.36	Professional	55	$41.05	$54.02	$87.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.60 / $769.75 / $962.19	Professional		$559.60	$769.75	$962.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.69 / $422.85 / $859.22	Facility		$273.69	$422.85	$859.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $625.88 / $2,322.88	Professional		$293.88	$625.88	$2,322.88
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $908.82 / $908.82 / $908.82	Professional	50	$908.82	$908.82	$908.82
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $591.55 / $591.55 / $591.55	Professional	54	$591.55	$591.55	$591.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $502.91 / $719.80 / $942.72	Facility		$502.91	$719.80	$942.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $502.91 / $722.96 / $888.73	Professional		$502.91	$722.96	$888.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $335.14 / $539.20 / $639.78	Professional		$335.14	$539.20	$639.78
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 $311.82 / $633.41 / $933.27	Professional		$311.82	$633.41	$933.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $623.50 / $712.70 / $762.90	Professional		$623.50	$712.70	$762.90