Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $42.39	Facility		$42.39	$42.39	$42.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $45.44 / $55.68	Professional		$42.39	$45.44	$55.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $73.13	Facility		$39.94	$39.94	$73.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $77.25 / $96.56	Professional		$77.25	$77.25	$96.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $76.79 / $312.25	Facility		$45.42	$76.79	$312.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $40.44 / $75.98	Professional		$26.49	$40.44	$75.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $73.13 / $95.68	Facility		$60.81	$73.13	$95.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $74.17 / $139.75	Professional		$57.24	$74.17	$139.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $64.92 / $77.17	Professional		$55.46	$64.92	$77.17
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $33.17 / $55.28	Professional		$22.07	$33.17	$55.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $59.83 / $59.83	Professional		$59.83	$59.83	$59.83