Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $28.84	Professional		$14.13	$20.89	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $38.90	Facility		$20.89	$20.89	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $64.57	Facility		$23.44	$38.02	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $169.82	Professional		$13.80	$19.50	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $38.02	Professional		$31.62	$38.02	$38.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $61.66	Professional		$31.62	$31.62	$61.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $45.71	Professional		$28.84	$34.67	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $34.67	Professional		$13.49	$16.98	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90