Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $58.90 / $150.47	Facility		$14.13	$58.90	$150.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.18 / $27.24	Professional		$14.13	$26.18	$27.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $24.10 / $142.80	Facility		$14.40	$24.10	$142.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $13.53 / $30.93	Professional		$9.02	$13.53	$30.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $30.61 / $47.12	Facility		$19.39	$30.61	$47.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $33.00 / $43.07	Professional		$19.39	$33.00	$43.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.10 / $41.29	Professional		$24.55	$35.10	$41.29
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.52 / $30.93	Professional		$6.31	$10.52	$30.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Professional		$15.03	$15.03	$15.03