Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,365.16 / $21,877.62	Facility		$794.33	$4,365.16	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $3,801.89	Professional		$691.83	$1,230.27	$3,801.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $562.34 / $588.84 / $1,047.13	Professional	54	$562.34	$588.84	$1,047.13
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	55	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,187.76	Professional		$1,548.82	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $2,238.72	Facility		$562.34	$1,096.48	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $6,918.31	Professional		$691.83	$1,258.93	$6,918.31
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional	54	$1,148.15	$1,148.15	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $1,862.09	Professional		$1,621.81	$1,862.09	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,479.11	Professional		$954.99	$1,318.26	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,089.30	Professional		$870.96	$1,348.96	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,698.24	Professional		$1,380.38	$1,621.81	$1,698.24