Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $218.78	Facility		$39.81	$69.18	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $120.23 / $239.88	Professional		$39.81	$120.23	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $354.81	Professional		$75.86	$114.82	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $120.23 / $281.84	Facility		$40.74	$120.23	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $1,148.15	Professional		$125.89	$213.80	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $316.23	Professional		$81.28	$102.33	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $239.88	Professional		$87.10	$87.10	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $162.18 / $245.47	Professional		$58.88	$162.18	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $257.04	Professional		$50.12	$112.20	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $295.12	Professional		$77.62	$95.50	$295.12