Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $41.05 / $241.30	Facility		$41.05	$41.05	$241.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $47.96 / $68.77	Professional		$34.06	$47.96	$68.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $86.82 / $86.82	Facility		$86.82	$86.82	$86.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $79.64 / $99.55	Professional		$58.80	$79.64	$99.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $61.93 / $80.17	Facility		$41.84	$61.93	$80.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $36.42 / $329.81	Professional		$26.20	$36.42	$329.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $89.15 / $136.91	Facility		$56.35	$89.15	$136.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $81.70 / $114.91	Professional		$52.40	$81.70	$114.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $105.21 / $119.97	Professional		$43.67	$105.21	$119.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $28.07 / $43.67	Professional		$18.34	$28.07	$43.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $43.67	Professional		$43.67	$43.67	$43.67