Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $36.86 / $286.77	Professional		$32.50	$36.86	$286.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Facility		$94.00	$94.00	$94.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $85.52 / $106.90	Professional		$67.63	$85.52	$106.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $53.51 / $159.88	Facility		$44.60	$53.51	$159.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $28.35 / $86.65	Professional		$24.10	$28.35	$86.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $86.65 / $105.00	Facility		$60.97	$86.65	$105.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $86.65 / $103.55	Professional		$56.70	$86.65	$103.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $113.84 / $129.81	Professional		$67.56	$113.84	$129.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $62.37	Professional		$19.85	$28.35	$62.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Professional		$47.25	$47.25	$47.25