Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $234.00 / $371.11	Facility		$78.12	$234.00	$371.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $108.46 / $135.93	Professional		$96.89	$108.46	$135.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.54 / $288.54 / $288.54	Facility		$288.54	$288.54	$288.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.53 / $262.43 / $328.03	Professional		$207.53	$262.43	$328.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $192.57 / $265.48	Facility		$138.55	$192.57	$265.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $136.78 / $1,085.40	Professional		$86.77	$136.78	$1,085.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $276.99 / $453.35	Facility		$186.61	$276.99	$453.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $265.17 / $365.59	Professional		$186.61	$265.17	$365.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.18 / $339.24 / $397.27	Professional		$205.18	$339.24	$397.27
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $86.77 / $260.30	Professional		$86.77	$86.77	$260.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $144.61 / $144.61	Professional		$144.61	$144.61	$144.61