Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $263.03	Professional		$16.98	$19.05	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $41.69	Professional		$28.84	$32.36	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.50 / $33.88	Facility		$18.62	$19.50	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $177.83	Professional		$41.69	$87.10	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Professional		$41.69	$41.69	$48.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $87.10	Professional		$34.67	$53.70	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81