Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $52.13 / $216.74	Facility		$52.13	$52.13	$216.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $187.34 / $230.11	Professional		$179.00	$187.34	$230.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $343.13	Facility		$184.69	$194.92	$343.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $361.50 / $451.88	Professional		$361.50	$361.50	$451.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.11 / $342.13 / $1,620.96	Facility		$230.11	$342.13	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $214.57 / $370.23	Professional		$134.11	$214.57	$370.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.31 / $343.13 / $598.64	Facility		$285.31	$343.13	$598.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.95 / $347.97 / $655.73	Professional		$286.95	$347.97	$655.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.79 / $328.73 / $390.75	Professional		$280.79	$328.73	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $181.56 / $311.94	Professional		$121.85	$181.56	$311.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $296.33 / $296.33	Professional		$296.33	$296.33	$296.33