Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $27.47 / $27.47	Facility		$27.47	$27.47	$27.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $22.79 / $27.47	Professional		$19.57	$22.79	$27.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $58.10 / $58.10	Facility		$58.10	$58.10	$58.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $52.88 / $66.09	Professional		$40.92	$52.88	$66.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $33.09 / $53.65	Facility		$28.00	$33.09	$53.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $17.53 / $53.59	Professional		$14.53	$17.53	$53.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $53.59 / $64.03	Facility		$37.70	$53.59	$64.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $49.03 / $62.89	Professional		$35.06	$49.03	$62.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $68.23 / $80.27	Professional		$33.90	$68.23	$80.27
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.53 / $29.22	Professional		$12.27	$17.53	$29.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $29.22 / $29.22	Professional		$29.22	$29.22	$29.22