Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $23.95 / $173.06	Facility		$23.95	$23.95	$173.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $22.66 / $23.95	Professional		$22.20	$22.66	$23.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $50.92 / $50.92	Facility		$50.92	$50.92	$50.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $40.85 / $121.47	Facility		$24.41	$40.85	$121.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $22.93 / $52.43	Professional		$15.29	$22.93	$52.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $51.92 / $79.88	Facility		$32.88	$51.92	$79.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $56.00 / $73.00	Professional		$32.88	$56.00	$73.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $59.50 / $70.00	Professional		$37.26	$59.50	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $17.82 / $30.58	Professional		$10.70	$17.82	$30.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $25.48 / $25.48	Professional		$25.48	$25.48	$25.48