Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $271.80	Facility		$22.64	$22.64	$271.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $30.66 / $64.80	Professional		$16.05	$30.66	$64.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $48.31 / $48.31	Facility		$48.31	$48.31	$48.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $43.74 / $54.67	Professional		$27.67	$43.74	$54.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $28.96 / $114.43	Facility		$23.08	$28.96	$114.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $14.45 / $28.91	Professional		$12.63	$14.45	$28.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $44.18 / $64.73	Facility		$31.09	$44.18	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $40.43 / $62.87	Professional		$27.30	$40.43	$62.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $56.25 / $66.18	Professional		$29.72	$56.25	$66.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $31.80	Professional		$10.11	$14.45	$31.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $24.09	Professional		$24.09	$24.09	$24.09