Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $192.25	Facility		$21.67	$21.67	$192.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $157.60 / $202.02	Professional		$18.45	$157.60	$202.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.20 / $367.20 / $367.20	Facility		$367.20	$367.20	$367.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $193.84 / $400.42	Professional		$35.17	$193.84	$400.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $139.71 / $431.82	Facility		$26.24	$139.71	$431.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.30 / $362.41 / $1,264.84	Professional		$207.30	$362.41	$1,264.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $294.64 / $445.73	Facility		$47.84	$294.64	$445.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $286.70 / $475.78	Professional		$44.99	$286.70	$475.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $242.84 / $328.39	Professional		$32.44	$242.84	$328.39
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $318.89 / $399.56	Professional		$50.00	$318.89	$399.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $45.50 / $351.00	Professional		$43.80	$45.50	$351.00