Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $39.84 / $39.84	Facility		$39.84	$39.84	$39.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $39.84 / $71.54	Professional		$28.39	$39.84	$71.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.21 / $84.21 / $84.21	Facility		$84.21	$84.21	$84.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $77.03 / $96.29	Professional		$60.92	$77.03	$96.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $53.92 / $77.79	Facility		$40.60	$53.92	$77.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $38.20 / $386.73	Professional		$25.43	$38.20	$386.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $77.70 / $128.22	Facility		$54.69	$77.70	$128.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $77.70 / $102.10	Professional		$54.69	$77.70	$102.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $94.74 / $116.43	Professional		$57.30	$94.74	$116.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $76.28	Professional		$25.43	$25.43	$76.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Professional		$42.38	$42.38	$42.38