Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $27.82 / $27.82	Facility		$27.82	$27.82	$27.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $23.09 / $27.82	Professional		$19.82	$23.09	$27.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $58.75 / $58.75	Facility		$58.75	$58.75	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $54.18 / $67.73	Professional		$42.85	$54.18	$67.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $33.51 / $54.33	Facility		$27.94	$33.51	$54.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $17.76 / $64.47	Professional		$16.77	$17.76	$64.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $62.62 / $75.78	Facility		$38.20	$62.62	$75.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $62.62 / $64.88	Professional		$35.52	$62.62	$64.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $71.31 / $81.31	Professional		$42.33	$71.31	$81.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $39.07	Professional		$12.43	$17.76	$39.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60