Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $28.42 / $85.40	Facility		$28.42	$28.42	$85.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $82.27 / $135.65	Professional		$29.76	$82.27	$135.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.20 / $199.20 / $199.20	Facility		$199.20	$199.20	$199.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $74.75 / $217.22	Professional		$49.43	$74.75	$217.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $82.27 / $182.60	Facility		$34.03	$82.27	$182.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $155.69 / $586.42	Professional		$90.48	$155.69	$586.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $155.69 / $210.76	Facility		$60.52	$155.69	$210.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $130.00 / $196.62	Professional		$57.95	$130.00	$196.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $105.10 / $159.13	Professional		$47.29	$105.10	$159.13
United Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $141.34 / $165.78	Professional		$85.93	$141.34	$165.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $66.30 / $189.80	Professional		$63.80	$66.30	$189.80