Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $74.39 / $1,298.97	Facility		$12.63	$74.39	$1,298.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $11.96 / $103.50	Professional		$11.41	$11.96	$103.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $26.76 / $26.76	Facility		$26.76	$26.76	$26.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $24.66 / $187.82	Facility		$12.87	$24.66	$187.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.40 / $18.77	Professional		$8.06	$9.40	$18.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $27.38 / $42.13	Facility		$17.35	$27.38	$42.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $29.86 / $38.49	Professional		$17.35	$29.86	$38.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $31.38 / $36.92	Professional		$21.95	$31.38	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $9.40 / $16.13	Professional		$5.64	$9.40	$16.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Professional		$13.44	$13.44	$13.44