Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $22.66 / $22.66	Facility		$22.66	$22.66	$22.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $22.66 / $240.30	Professional		$15.73	$22.66	$240.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $48.31 / $48.31	Facility		$48.31	$48.31	$48.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.39 / $55.49	Professional		$28.08	$44.39	$55.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $28.96 / $188.00	Facility		$23.09	$28.96	$188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $21.70 / $37.15	Professional		$12.63	$21.70	$37.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $44.21 / $64.73	Facility		$31.11	$44.21	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $40.46 / $62.93	Professional		$27.30	$40.46	$62.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $56.30 / $66.23	Professional		$29.72	$56.30	$66.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $14.47 / $28.93	Professional		$10.13	$14.47	$28.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Professional		$24.11	$24.11	$24.11