Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $85.58 / $166.85	Facility		$16.01	$85.58	$166.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $14.84 / $87.22	Professional		$12.20	$14.84	$87.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $33.95 / $33.95	Facility		$33.95	$33.95	$33.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $27.32 / $97.00	Facility		$16.32	$27.32	$97.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $11.91 / $23.80	Professional		$10.22	$11.91	$23.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $34.69 / $53.39	Facility		$21.98	$34.69	$53.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $37.84 / $48.80	Professional		$21.98	$37.84	$48.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $39.77 / $46.78	Professional		$27.82	$39.77	$46.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $11.91 / $35.04	Professional		$7.15	$11.91	$35.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Professional		$17.03	$17.03	$17.03