Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $23.45 / $87.48	Facility		$13.50	$23.45	$87.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.71 / $23.45	Professional		$16.22	$21.71	$23.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $45.04 / $56.30	Professional		$28.50	$45.04	$56.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $40.00 / $141.15	Facility		$23.91	$40.00	$141.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $17.46 / $34.88	Professional		$14.97	$17.46	$34.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $50.84 / $78.22	Facility		$32.20	$50.84	$78.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $55.00 / $71.51	Professional		$32.20	$55.00	$71.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $60.11 / $68.54	Professional		$40.75	$60.11	$68.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $22.46 / $51.35	Professional		$10.48	$22.46	$51.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95