Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Facility		$26.79	$26.79	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $283.91 / $324.00	Professional		$19.10	$283.91	$324.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $56.79 / $56.79	Facility		$56.79	$56.79	$56.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $51.57 / $64.45	Professional		$32.63	$51.57	$64.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $32.28 / $135.38	Facility		$27.31	$32.28	$135.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $25.65 / $40.98	Professional		$13.93	$25.65	$40.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $52.25 / $72.20	Facility		$36.78	$52.25	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $47.83 / $74.39	Professional		$30.11	$47.83	$74.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $66.55 / $78.30	Professional		$28.50	$66.55	$78.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.10 / $34.20	Professional		$11.97	$17.10	$34.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50