Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Facility		$39.26	$39.26	$39.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $39.26 / $39.26	Professional		$27.99	$39.26	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $83.56 / $83.56	Facility		$83.56	$83.56	$83.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $75.72 / $94.66	Professional		$47.91	$75.72	$94.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $47.30 / $275.00	Facility		$32.65	$47.30	$275.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $25.06 / $50.12	Professional		$4.07	$25.06	$50.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.89 / $73.45 / $76.59	Facility		$53.89	$73.45	$76.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $68.72 / $109.02	Professional		$8.78	$68.72	$109.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $97.54 / $114.75	Professional		$13.09	$97.54	$114.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $25.06 / $41.77	Professional		$4.07	$25.06	$41.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $41.77 / $41.77	Professional		$41.77	$41.77	$41.77