Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $133.04 / $630.08	Facility		$44.35	$133.04	$630.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $24.12 / $64.80	Professional		$7.83	$24.12	$64.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $18.28	Facility		$18.28	$18.28	$18.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $38.65 / $123.23	Facility		$10.53	$38.65	$123.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $6.51 / $12.99	Professional		$5.58	$6.51	$12.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.96 / $29.16	Facility		$12.00	$18.96	$29.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.67 / $26.63	Professional		$12.00	$20.67	$26.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $21.72 / $25.55	Professional		$12.35	$21.72	$25.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $8.36 / $12.28	Professional		$3.91	$8.36	$12.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30