Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $27.10 / $27.10	Professional		$19.32	$27.10	$27.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $57.45	Facility		$57.45	$57.45	$57.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $52.22 / $65.28	Professional		$33.04	$52.22	$65.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $36.74 / $179.00	Facility		$27.63	$36.74	$179.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $25.95 / $59.33	Professional		$17.30	$25.95	$59.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $58.75 / $83.40	Facility		$37.20	$58.75	$83.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $64.00 / $82.61	Professional		$37.20	$64.00	$82.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $67.31 / $79.20	Professional		$30.71	$67.31	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $20.17 / $34.60	Professional		$12.11	$20.17	$34.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Professional		$28.83	$28.83	$28.83