Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $38.02	Professional		$19.05	$28.18	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $50.12	Facility		$28.84	$28.84	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $66.07	Professional		$52.48	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $85.11	Facility		$30.90	$48.98	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $223.87	Professional		$17.38	$28.18	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $50.12	Professional		$38.90	$50.12	$50.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Professional		$38.90	$38.90	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $60.26	Professional		$36.31	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $45.71	Professional		$17.38	$28.18	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67