Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $27.59 / $245.39	Facility		$24.03	$27.59	$245.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $29.35 / $103.24	Professional		$25.20	$29.35	$103.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $58.75 / $58.75	Facility		$58.75	$58.75	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $53.53 / $66.91	Professional		$33.86	$53.53	$66.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $47.06 / $215.25	Facility		$28.11	$47.06	$215.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $26.42 / $60.39	Professional		$17.61	$26.42	$60.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $33.07 / $55.30	Facility		$29.11	$33.07	$55.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $38.15 / $80.91	Professional		$29.11	$38.15	$80.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $68.54 / $80.63	Professional		$47.93	$68.54	$80.63
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $20.53 / $35.22	Professional		$12.33	$20.53	$35.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Professional		$29.35	$29.35	$29.35