Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $246.38 / $775.96	Facility		$63.00	$246.38	$775.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $38.79 / $230.51	Professional		$32.20	$38.79	$230.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.25 / $82.25 / $82.25	Facility		$82.25	$82.25	$82.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $75.06 / $93.84	Professional		$47.50	$75.06	$93.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $110.22 / $269.70	Facility		$46.75	$110.22	$269.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $28.88 / $57.67	Professional		$24.77	$28.88	$57.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $84.09 / $129.41	Facility		$53.27	$84.09	$129.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $91.00 / $118.25	Professional		$53.27	$91.00	$118.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $96.39 / $113.40	Professional		$67.40	$96.39	$113.40
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $28.88 / $49.54	Professional		$17.34	$28.88	$49.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $41.28	Professional		$41.28	$41.28	$41.28