Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $25.75 / $25.75	Facility		$25.75	$25.75	$25.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $25.75 / $25.75	Professional		$18.35	$25.75	$25.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Facility		$54.84	$54.84	$54.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $50.27 / $62.83	Professional		$31.80	$50.27	$62.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $32.25 / $130.10	Facility		$26.24	$32.25	$130.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $24.65 / $41.39	Professional		$14.07	$24.65	$41.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $50.22 / $72.20	Facility		$35.34	$50.22	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $45.96 / $71.48	Professional		$30.40	$45.96	$71.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.96 / $75.25	Professional		$33.11	$63.96	$75.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $24.65 / $36.15	Professional		$11.50	$24.65	$36.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $27.39 / $27.39	Professional		$27.39	$27.39	$27.39