Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $129.93 / $192.78	Facility		$20.84	$129.93	$192.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $32.50 / $64.12	Professional		$16.05	$32.50	$64.12
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 $21.24 / $62.28 / $745.24	Facility		$21.24	$62.28	$745.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $19.95 / $37.15	Professional		$12.63	$19.95	$37.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $40.65 / $64.73	Facility		$28.60	$40.65	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $40.13 / $57.86	Professional		$27.30	$40.13	$57.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $51.77 / $60.91	Professional		$29.72	$51.77	$60.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $13.30 / $26.60	Professional		$9.31	$13.30	$26.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17