Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $78.39 / $159.84	Facility		$12.92	$78.39	$159.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $12.25 / $87.22	Professional		$11.81	$12.25	$87.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $27.42 / $27.42	Facility		$27.42	$27.42	$27.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $25.24 / $144.56	Facility		$13.17	$25.24	$144.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $9.61 / $19.20	Professional		$8.24	$9.61	$19.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $28.00 / $43.07	Facility		$17.73	$28.00	$43.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $30.11 / $39.35	Professional		$17.73	$30.11	$39.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $32.08 / $37.75	Professional		$22.43	$32.08	$37.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $9.61 / $16.48	Professional		$5.77	$9.61	$16.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74