Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $72.44 / $218.78	Facility		$42.66	$72.44	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $128.82 / $218.78	Professional		$42.66	$128.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $346.74	Professional		$79.43	$154.88	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $117.49 / $269.15	Facility		$43.65	$117.49	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $851.14	Professional		$120.23	$194.98	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $316.23	Professional		$89.13	$109.65	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $229.09	Professional		$95.50	$95.50	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $162.18 / $245.47	Professional		$63.10	$162.18	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $245.47	Professional		$52.48	$114.82	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $288.40	Professional		$83.18	$102.33	$288.40