Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $196.63 / $196.63	Facility		$25.27	$196.63	$196.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $23.98 / $26.38	Professional		$18.01	$23.98	$26.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Facility		$53.53	$53.53	$53.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $48.96 / $61.20	Professional		$37.89	$48.96	$61.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $32.15 / $59.31	Facility		$25.75	$32.15	$59.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $18.21 / $261.52	Professional		$14.03	$18.21	$261.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $49.29 / $72.20	Facility		$34.69	$49.29	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $45.10 / $58.90	Professional		$32.26	$45.10	$58.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $55.05 / $73.84	Professional		$33.01	$55.05	$73.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.03 / $26.88	Professional		$11.29	$14.03	$26.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88