Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $72.76 / $208.68	Facility		$23.74	$72.76	$208.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $76.54 / $86.40	Professional		$16.92	$76.54	$86.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $50.27 / $50.27	Facility		$50.27	$50.27	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $45.70 / $57.12	Professional		$28.91	$45.70	$57.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $40.47 / $132.00	Facility		$24.20	$40.47	$132.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $22.73 / $51.96	Professional		$15.15	$22.73	$51.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $51.46 / $79.16	Facility		$32.58	$51.46	$79.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $51.46 / $68.72	Professional		$32.58	$51.46	$68.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $58.96 / $69.37	Professional		$41.23	$58.96	$69.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $17.67 / $30.30	Professional		$10.61	$17.67	$30.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Professional		$25.25	$25.25	$25.25