Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $109.35 / $169.44	Facility		$19.55	$109.35	$169.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $24.89 / $31.21	Professional		$17.44	$24.89	$31.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $41.78 / $41.78	Facility		$41.78	$41.78	$41.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $33.36 / $99.06	Facility		$19.63	$33.36	$99.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $18.73 / $42.83	Professional		$12.49	$18.73	$42.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $42.42 / $65.23	Facility		$26.85	$42.42	$65.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $46.00 / $59.62	Professional		$26.85	$46.00	$59.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $48.59 / $57.17	Professional		$33.97	$48.59	$57.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.56 / $24.97	Professional		$8.74	$14.56	$24.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Professional		$20.81	$20.81	$20.81