Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $69.01 / $419.02	Facility		$55.85	$69.01	$419.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.13 / $64.97	Professional		$11.84	$14.13	$64.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $24.81	Facility		$24.81	$24.81	$24.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $47.82 / $263.48	Facility		$12.07	$47.82	$263.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.34 / $22.44	Professional		$7.56	$11.34	$22.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $23.10 / $29.73	Facility		$15.71	$23.10	$29.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $23.10 / $32.89	Professional		$15.71	$23.10	$32.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $30.36 / $34.61	Professional		$12.60	$30.36	$34.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $7.63 / $15.12	Professional		$5.29	$7.63	$15.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Professional		$12.60	$12.60	$12.60