Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $22.62 / $65.70	Facility		$22.62	$22.62	$65.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $22.62 / $65.70	Professional		$16.12	$22.62	$65.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $47.65 / $47.65	Facility		$47.65	$47.65	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $43.74 / $54.67	Professional		$27.67	$43.74	$54.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $27.38 / $114.29	Facility		$21.42	$27.38	$114.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $21.65 / $36.29	Professional		$12.34	$21.65	$36.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $44.12 / $48.55	Facility		$31.04	$44.12	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $40.36 / $62.80	Professional		$26.68	$40.36	$62.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $56.18 / $66.09	Professional		$29.04	$56.18	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.44 / $28.87	Professional		$10.11	$14.44	$28.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Professional		$24.06	$24.06	$24.06