Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $32.97 / $32.97	Facility		$32.97	$32.97	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $27.37 / $32.97	Professional		$22.81	$27.37	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $63.32 / $79.15	Professional		$49.00	$63.32	$79.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $54.36 / $64.42	Facility		$33.61	$54.36	$64.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $31.58 / $288.64	Professional		$21.05	$31.58	$288.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $76.90 / $108.30	Facility		$45.28	$76.90	$108.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $71.48 / $100.53	Professional		$42.11	$71.48	$100.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $84.54 / $96.40	Professional		$57.31	$84.54	$96.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $24.55 / $35.09	Professional		$14.74	$24.55	$35.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09