Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Facility		$27.40	$27.40	$27.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $29.37 / $35.97	Professional		$27.40	$29.37	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $47.26	Facility		$25.81	$25.81	$47.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $49.88 / $62.34	Professional		$49.88	$49.88	$62.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $49.64 / $201.75	Facility		$29.37	$49.64	$201.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $26.14 / $49.10	Professional		$17.11	$26.14	$49.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $47.26 / $61.83	Facility		$39.29	$47.26	$61.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $47.91 / $90.30	Professional		$36.99	$47.91	$90.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $41.95 / $49.87	Professional		$35.83	$41.95	$49.87
United Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $32.35 / $49.40	Professional		$15.18	$32.35	$49.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65