Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $31.83 / $31.83	Facility		$31.83	$31.83	$31.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $31.83 / $31.83	Professional		$22.69	$31.83	$31.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $67.23 / $67.23	Facility		$67.23	$67.23	$67.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $62.02 / $77.52	Professional		$39.24	$62.02	$77.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $39.79 / $160.84	Facility		$32.45	$39.79	$160.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $30.47 / $51.08	Professional		$17.37	$30.47	$51.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $62.09 / $77.19	Facility		$43.70	$62.09	$77.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $62.09 / $88.37	Professional		$37.53	$62.09	$88.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $79.06 / $93.02	Professional		$40.86	$79.06	$93.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $34.68	Professional		$14.22	$20.32	$34.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Professional		$33.86	$33.86	$33.86