Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.17 / $957.17 / $4,338.00	Facility		$957.17	$957.17	$4,338.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $717.88 / $717.88 / $717.88	Facility	54	$717.88	$717.88	$717.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $860.91 / $1,571.88	Professional		$782.64	$860.91	$1,571.88
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $117.63 / $143.58 / $235.78	Professional	55	$117.63	$143.58	$235.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.12 / $2,056.82 / $2,571.03	Professional		$1,869.12	$2,056.82	$2,571.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $784.22 / $1,187.41 / $2,390.35	Facility		$784.22	$1,187.41	$2,390.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $832.81 / $1,628.66 / $2,853.68	Professional		$832.81	$1,628.66	$2,853.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,684.79 / $1,944.68 / $2,341.67	Facility		$1,684.79	$1,944.68	$2,341.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,397.14 / $2,109.51 / $2,381.56	Professional		$1,397.14	$2,109.51	$2,381.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.43 / $1,471.67 / $1,728.52	Professional		$977.43	$1,471.67	$1,728.52
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 $1,072.91 / $1,810.78 / $2,533.46	Professional		$1,072.91	$1,810.78	$2,533.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,684.50 / $2,061.10 / $2,061.10	Professional		$1,684.50	$2,061.10	$2,061.10