Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $112.53 / $352.89	Facility		$15.56	$112.53	$352.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.22 / $24.82	Professional		$11.10	$12.22	$24.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $33.29 / $33.29	Facility		$33.29	$33.29	$33.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $19.22 / $78.61	Facility		$15.86	$19.22	$78.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $19.86	Professional		$14.00	$14.00	$19.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $30.35 / $43.59	Facility		$21.35	$30.35	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $30.35 / $43.20	Professional		$18.14	$30.35	$43.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $38.65 / $45.47	Professional		$19.73	$38.65	$45.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $21.85	Professional		$14.00	$14.00	$21.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55