Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $208.05 / $2,319.79	Facility		$69.15	$208.05	$2,319.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $27.42 / $115.20	Professional		$13.71	$27.42	$115.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	25	$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.44 / $37.51	Professional		$30.01	$30.44	$37.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $95.35 / $1,250.69	Facility		$25.98	$95.35	$1,250.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $29.84 / $53.80	Professional		$13.71	$29.84	$53.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $35.21 / $41.50	Facility		$31.93	$35.21	$41.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $35.21 / $41.79	Professional		$28.26	$35.21	$41.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $26.62 / $41.88	Professional		$19.19	$26.62	$41.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.58 / $51.24	Professional		$18.60	$25.58	$51.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $33.20	Professional		$33.20	$33.20	$33.20