Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.92 / $220.59 / $259.92	Facility		$23.92	$220.59	$259.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $66.54 / $212.40	Professional		$30.42	$66.54	$212.40
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 $24.38 / $46.72 / $140.25	Facility		$24.38	$46.72	$140.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $15.27 / $33.02	Professional		$11.23	$15.27	$33.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $51.85 / $79.79	Facility		$32.84	$51.85	$79.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $56.00 / $72.89	Professional		$24.27	$56.00	$72.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $59.43 / $69.92	Professional		$26.41	$59.43	$69.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $30.54	Professional		$10.69	$15.27	$30.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Professional		$25.45	$25.45	$25.45