Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $25.26 / $190.51	Facility		$8.32	$25.26	$190.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $168.70 / $190.51	Professional		$153.37	$168.70	$190.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $146.03 / $300.07	Facility		$142.00	$146.03	$300.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $397.50	Professional		$318.00	$318.00	$397.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $320.19 / $1,281.52	Facility		$192.18	$320.19	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $160.94 / $294.54	Professional		$110.42	$160.94	$294.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.51 / $300.07 / $470.05	Facility		$249.51	$300.07	$470.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $311.83 / $710.15	Professional		$299.20	$311.83	$710.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $270.66 / $321.73	Professional		$231.18	$270.66	$321.73
United Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $184.36 / $290.70	Professional		$95.68	$184.36	$290.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $259.14 / $259.14	Professional		$259.14	$259.14	$259.14