Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $25.67	Facility		$25.67	$25.67	$25.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $25.67 / $27.08	Professional		$25.67	$25.67	$27.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $75.00	Facility		$60.00	$60.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $58.13	Professional		$46.50	$46.50	$58.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $45.77 / $56.07	Facility		$38.21	$45.77	$56.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $34.68 / $199.29	Professional		$17.34	$34.68	$199.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $51.49 / $57.03	Facility		$43.44	$51.49	$57.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $43.57 / $52.22	Professional		$43.44	$43.57	$52.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $44.57 / $52.43	Professional		$38.68	$44.57	$52.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $20.81 / $34.68	Professional		$15.47	$20.81	$34.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Professional		$35.65	$35.65	$35.65