Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $159.05	Facility		$15.36	$15.36	$159.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.36 / $15.36	Professional		$10.95	$15.36	$15.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $32.64 / $32.64	Facility		$32.64	$32.64	$32.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $25.28 / $129.00	Facility		$15.66	$25.28	$129.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $14.71 / $33.61	Professional		$9.80	$14.71	$33.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $33.28 / $48.55	Facility		$21.08	$33.28	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $33.28 / $45.45	Professional		$21.08	$33.28	$45.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $38.15 / $44.89	Professional		$26.69	$38.15	$44.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $14.71 / $33.61	Professional		$6.86	$14.71	$33.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $16.34	Professional		$16.34	$16.34	$16.34