Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $36.56	Facility		$36.56	$36.56	$36.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $36.56 / $45.70	Professional		$23.13	$36.56	$45.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $55.72 / $166.51	Facility		$22.74	$55.72	$166.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $30.26 / $42.70	Professional		$10.29	$30.26	$42.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $53.52 / $72.17	Facility		$19.42	$53.52	$72.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $33.28 / $108.37	Professional		$19.42	$33.28	$108.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $33.09 / $40.00	Professional		$24.20	$33.09	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $30.26 / $42.70	Professional		$10.29	$30.26	$42.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30