Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $163.38 / $399.00	Facility		$64.98	$163.38	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.52 / $85.50	Professional		$18.07	$22.52	$85.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $51.57 / $51.57	Facility		$51.57	$51.57	$51.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $47.00 / $58.75	Professional		$29.74	$47.00	$58.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $55.28 / $173.54	Facility		$29.22	$55.28	$173.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.05 / $51.56	Professional		$15.49	$18.05	$51.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $52.58 / $80.91	Facility		$33.31	$52.58	$80.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $57.00 / $73.95	Professional		$33.31	$57.00	$73.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $60.27 / $70.91	Professional		$42.16	$60.27	$70.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.05 / $30.97	Professional		$10.84	$18.05	$30.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Professional		$25.81	$25.81	$25.81