Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $107.17 / $2,508.23	Facility		$20.28	$107.17	$2,508.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $44.16 / $104.41	Professional		$40.14	$44.16	$104.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $91.83 / $182.83	Facility		$86.64	$91.83	$182.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $145.82 / $180.47	Professional		$144.38	$145.82	$180.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.52 / $151.57 / $670.88	Facility		$101.52	$151.57	$670.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $82.92 / $147.96	Professional		$49.67	$82.92	$147.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.02 / $182.83 / $239.23	Facility		$152.02	$182.83	$239.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $185.42 / $349.40	Professional		$143.11	$185.42	$349.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $121.74 / $144.71	Professional		$103.98	$121.74	$144.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $79.45 / $164.55	Professional		$48.70	$79.45	$164.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $157.90 / $157.90	Professional		$157.90	$157.90	$157.90