Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $157.10 / $380.58	Facility		$63.45	$157.10	$380.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $22.67 / $67.50	Professional		$17.82	$22.67	$67.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $50.92 / $50.92	Facility		$50.92	$50.92	$50.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $54.94 / $193.44	Facility		$24.40	$54.94	$193.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $22.92 / $51.56	Professional		$15.28	$22.92	$51.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $51.91 / $79.84	Facility		$32.86	$51.91	$79.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $56.00 / $72.95	Professional		$32.86	$56.00	$72.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $59.47 / $69.97	Professional		$41.58	$59.47	$69.97
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $22.92 / $30.56	Professional		$10.70	$22.92	$30.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Professional		$25.47	$25.47	$25.47