Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $29.45 / $29.45	Facility		$29.45	$29.45	$29.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $29.45 / $29.45	Professional		$20.99	$29.45	$29.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $62.67 / $62.67	Facility		$62.67	$62.67	$62.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $56.79 / $70.98	Professional		$36.29	$56.79	$70.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $35.47 / $148.82	Facility		$29.57	$35.47	$148.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $28.20 / $47.00	Professional		$15.98	$28.20	$47.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $57.30 / $68.28	Facility		$37.60	$57.30	$68.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $68.28 / $81.77	Professional		$37.63	$68.28	$81.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $75.48 / $86.07	Professional		$31.33	$75.48	$86.07
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $31.33	Professional		$13.16	$18.80	$31.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Professional		$31.33	$31.33	$31.33