Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Facility		$32.90	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $28.85 / $52.50	Professional		$23.45	$28.85	$52.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $63.32 / $79.15	Professional		$50.08	$63.32	$79.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $39.63 / $64.25	Facility		$33.03	$39.63	$64.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $21.00 / $64.17	Professional		$17.85	$21.00	$64.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $64.17 / $77.78	Facility		$45.17	$64.17	$77.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $64.17 / $76.70	Professional		$42.00	$64.17	$76.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $84.33 / $96.15	Professional		$50.05	$84.33	$96.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $17.85 / $35.00	Professional		$14.70	$17.85	$35.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00