Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $23.70 / $23.70	Facility		$23.70	$23.70	$23.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $23.70 / $23.70	Professional		$16.89	$23.70	$23.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $50.27 / $50.27	Facility		$50.27	$50.27	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $45.70 / $57.12	Professional		$28.91	$45.70	$57.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $37.75 / $119.75	Facility		$24.15	$37.75	$119.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $22.69 / $48.44	Professional		$15.13	$22.69	$48.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $47.94 / $79.03	Facility		$15.10	$47.94	$79.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $42.31 / $65.80	Professional		$15.10	$42.31	$65.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $58.87 / $69.26	Professional		$38.45	$58.87	$69.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $16.47 / $30.25	Professional		$10.59	$16.47	$30.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Professional		$25.21	$25.21	$25.21