Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $24.67 / $24.67	Facility		$24.67	$24.67	$24.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $24.67 / $24.67	Professional		$17.57	$24.67	$24.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $52.22 / $52.22	Facility		$52.22	$52.22	$52.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $47.65 / $59.57	Professional		$30.15	$47.65	$59.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $37.79 / $124.64	Facility		$25.14	$37.79	$124.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $23.62 / $48.53	Professional		$15.74	$23.62	$48.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $48.12 / $82.26	Facility		$33.86	$48.12	$82.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $48.12 / $68.48	Professional		$33.86	$48.12	$68.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $61.27 / $72.09	Professional		$38.51	$61.27	$72.09
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $16.50 / $31.49	Professional		$11.02	$16.50	$31.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Professional		$26.24	$26.24	$26.24