Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $54.95	Professional		$23.99	$40.74	$54.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	52	$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $56.23	Professional		$23.44	$39.81	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $32.36 / $47.86	Facility		$21.88	$32.36	$47.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $213.80 / $251.19	Professional		$38.90	$213.80	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $56.23	Professional		$38.90	$38.90	$56.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $77.62	Professional		$38.90	$50.12	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $87.10	Professional		$31.62	$38.90	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $47.86	Professional		$33.11	$40.74	$47.86