Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $102.33	Professional		$30.20	$43.65	$102.33
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	22	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.69 / $46.77 / $50.12	Professional	52	$41.69	$46.77	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	52	$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $85.11	Professional		$28.18	$56.23	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $81.28	Facility		$27.54	$44.67	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $281.84	Professional		$35.48	$69.18	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $87.10	Professional		$64.57	$74.13	$87.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $70.79	Professional		$37.15	$52.48	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $72.44	Professional		$28.18	$41.69	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $64.57	Professional		$44.67	$53.70	$64.57