Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $71.38 / $136.32	Facility		$26.13	$71.38	$136.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.73 / $26.13	Professional		$24.19	$24.73	$26.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $55.49 / $55.49	Facility		$55.49	$55.49	$55.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $50.27 / $62.83	Professional		$31.80	$50.27	$62.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $44.58 / $133.26	Facility		$26.64	$44.58	$133.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $16.68 / $33.36	Professional		$4.07	$16.68	$33.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $56.63 / $87.15	Facility		$35.86	$56.63	$87.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $49.58 / $76.48	Professional		$8.78	$49.58	$76.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $64.92 / $76.37	Professional		$13.09	$64.92	$76.37
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $16.68 / $27.80	Professional		$4.07	$16.68	$27.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Professional		$27.80	$27.80	$27.80