Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $14.84 / $29.58	Professional		$12.69	$14.84	$29.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $64.50 / $80.63	Facility		$64.50	$64.50	$80.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $62.81	Professional		$50.25	$50.25	$62.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $47.06 / $59.16	Facility		$40.51	$47.06	$59.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $215.48	Professional		$15.00	$15.00	$215.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $49.30 / $62.28	Facility		$47.47	$49.30	$62.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $47.60 / $72.81	Professional		$39.58	$47.60	$72.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $43.27 / $57.27	Professional		$36.10	$43.27	$57.27
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $49.76	Professional		$15.00	$15.00	$49.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $38.94 / $38.94	Professional		$38.94	$38.94	$38.94