Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $168.15 / $297.57	Facility		$105.45	$168.15	$297.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.23 / $105.30	Professional		$11.57	$16.23	$105.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $34.60 / $34.60	Facility		$34.60	$34.60	$34.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $76.64 / $262.79	Facility		$16.55	$76.64	$262.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $15.54 / $25.91	Professional		$8.81	$15.54	$25.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $31.58 / $31.66	Facility		$20.72	$31.58	$31.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.66 / $45.07	Professional		$20.74	$31.66	$45.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $41.61 / $47.44	Professional		$17.27	$41.61	$47.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $15.54 / $22.80	Professional		$7.25	$15.54	$22.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27