Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $28.85 / $28.85	Facility		$28.85	$28.85	$28.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $30.98 / $37.89	Professional		$28.85	$30.98	$37.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $49.79	Facility		$29.14	$29.14	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $52.50 / $65.63	Professional		$52.50	$52.50	$65.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $52.36 / $211.82	Facility		$27.00	$52.36	$211.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $31.10 / $49.87	Professional		$17.46	$31.10	$49.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $49.62 / $78.04	Facility		$39.08	$49.62	$78.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $49.62 / $92.45	Professional		$39.08	$49.62	$92.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $44.25 / $52.54	Professional		$36.29	$44.25	$52.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $22.39 / $35.53	Professional		$15.93	$22.39	$35.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $44.35 / $44.35	Professional		$44.35	$44.35	$44.35