Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $141.27 / $380.48	Facility		$141.27	$141.27	$380.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $117.23 / $141.27	Professional		$100.69	$117.23	$141.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.64 / $299.64 / $299.64	Facility		$299.64	$299.64	$299.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $273.52 / $341.90	Professional		$216.31	$273.52	$341.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.99 / $238.75 / $533.80	Facility		$143.99	$238.75	$533.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $164.93 / $1,249.00	Professional		$90.17	$164.93	$1,249.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.94 / $329.37 / $471.16	Facility		$193.94	$329.37	$471.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $306.20 / $430.56	Professional		$193.94	$306.20	$430.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $212.06 / $362.09 / $412.88	Professional		$212.06	$362.09	$412.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $90.17 / $270.52	Professional		$90.17	$90.17	$270.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $150.29 / $150.29	Professional		$150.29	$150.29	$150.29