Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $35.06 / $295.68	Facility		$35.06	$35.06	$295.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $26.07 / $35.06	Professional		$24.09	$26.07	$35.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $50.27 / $50.27	Facility		$50.27	$50.27	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $50.27 / $62.83	Professional		$31.80	$50.27	$62.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $40.71 / $170.00	Facility		$27.38	$40.71	$170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $26.20 / $55.46	Professional		$18.85	$26.20	$55.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $54.37 / $64.95	Facility		$43.59	$54.37	$64.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $54.37 / $101.09	Professional		$28.44	$54.37	$101.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $19.69	Professional		$19.69	$19.69	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $19.16 / $38.97	Professional		$15.10	$19.16	$38.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $171.40 / $171.40	Professional		$171.40	$171.40	$171.40