Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Facility		$25.65	$25.65	$25.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $21.29 / $25.65	Professional		$18.28	$21.29	$25.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Facility		$54.18	$54.18	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $49.61 / $62.02	Professional		$38.40	$49.61	$62.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $32.15 / $59.31	Facility		$26.14	$32.15	$59.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $18.21 / $164.83	Professional		$14.03	$18.21	$164.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $50.00 / $72.20	Facility		$35.22	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $45.80 / $59.81	Professional		$32.75	$45.80	$59.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $63.72 / $74.97	Professional		$32.75	$63.72	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.37 / $36.02	Professional		$11.46	$16.37	$36.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $27.29	Professional		$27.29	$27.29	$27.29