Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $27.76 / $137.90	Facility		$27.76	$27.76	$137.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $26.32 / $27.76	Professional		$25.73	$26.32	$27.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $58.75 / $58.75	Facility		$58.75	$58.75	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $53.53 / $66.91	Professional		$33.86	$53.53	$66.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $47.34 / $198.00	Facility		$28.30	$47.34	$198.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $26.58 / $55.37	Professional		$17.72	$26.58	$55.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $60.16 / $92.58	Facility		$38.11	$60.16	$92.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $65.00 / $84.61	Professional		$38.11	$65.00	$84.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $68.95 / $81.12	Professional		$43.93	$68.95	$81.12
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $18.82 / $35.44	Professional		$12.40	$18.82	$35.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $29.53 / $29.53	Professional		$29.53	$29.53	$29.53