Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $129.78 / $212.61	Facility		$20.90	$129.78	$212.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.39 / $55.25	Professional		$15.56	$19.39	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $44.39 / $44.39	Facility		$44.39	$44.39	$44.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $40.47 / $50.59	Professional		$25.61	$40.47	$50.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $35.65 / $178.31	Facility		$21.29	$35.65	$178.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.56 / $31.07	Professional		$13.34	$15.56	$31.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $45.31 / $69.69	Facility		$28.69	$45.31	$69.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $45.31 / $60.96	Professional		$28.69	$45.31	$60.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.91 / $61.07	Professional		$36.31	$51.91	$61.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $15.56 / $26.68	Professional		$9.34	$15.56	$26.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23