Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $273.00	Professional		$25.57	$25.57	$273.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $73.11 / $73.11	Facility		$73.11	$73.11	$73.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $66.59 / $83.23	Professional		$42.13	$66.59	$83.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $42.93 / $173.52	Facility		$35.01	$42.93	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $32.88 / $43.84	Professional		$12.66	$32.88	$43.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $66.98 / $85.01	Facility		$36.29	$66.98	$85.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $48.01 / $95.34	Professional		$27.37	$48.01	$95.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $85.30 / $100.36	Professional		$36.53	$85.30	$100.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $21.92 / $37.22	Professional		$12.66	$21.92	$37.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Professional		$36.53	$36.53	$36.53