Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $25.66 / $25.66	Facility		$25.66	$25.66	$25.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $25.66 / $25.66	Professional		$18.29	$25.66	$25.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Facility		$54.18	$54.18	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $30.91 / $129.68	Facility		$26.15	$30.91	$129.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $24.57 / $35.36	Professional		$12.03	$24.57	$35.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $50.06 / $61.00	Facility		$35.22	$50.06	$61.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.82 / $71.25	Professional		$26.00	$45.82	$71.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $63.75 / $75.00	Professional		$28.30	$63.75	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $12.03 / $32.76	Professional		$11.47	$12.03	$32.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Professional		$27.30	$27.30	$27.30