Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $241.08	Facility		$21.60	$21.60	$241.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $21.60	Professional		$15.00	$15.00	$21.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $27.05 / $243.00	Facility		$22.02	$27.05	$243.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $20.68 / $34.71	Professional		$11.80	$20.68	$34.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $42.13 / $59.74	Facility		$29.66	$42.13	$59.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $38.56 / $59.98	Professional		$25.50	$38.56	$59.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $53.66 / $63.13	Professional		$27.77	$53.66	$63.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $11.80 / $27.58	Professional		$9.65	$11.80	$27.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98