Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $159.31 / $645.46	Facility		$38.52	$159.31	$645.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $26.72 / $173.55	Professional		$20.72	$26.72	$173.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $58.75 / $58.75	Facility		$58.75	$58.75	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $54.18 / $67.73	Professional		$34.28	$54.18	$67.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $108.08 / $195.08	Facility		$27.94	$108.08	$195.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $20.71 / $41.36	Professional		$17.76	$20.71	$41.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $60.31 / $92.80	Facility		$38.20	$60.31	$92.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $65.00 / $84.84	Professional		$38.20	$65.00	$84.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $69.12 / $81.31	Professional		$48.35	$69.12	$81.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $20.71 / $35.52	Professional		$12.43	$20.71	$35.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60