Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Facility		$37.76	$37.76	$37.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $37.76 / $37.76	Professional		$26.91	$37.76	$37.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $73.11 / $91.39	Professional		$46.26	$73.11	$91.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $35.10 / $190.81	Facility		$14.84	$35.10	$190.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $24.10 / $48.20	Professional		$7.25	$24.10	$48.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $52.44 / $73.66	Facility		$20.57	$52.44	$73.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $28.81 / $104.84	Professional		$15.68	$28.81	$104.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $93.80 / $110.36	Professional		$17.07	$93.80	$110.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $16.87 / $40.17	Professional		$7.25	$16.87	$40.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Professional		$40.17	$40.17	$40.17