Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $47.86	Professional		$19.05	$37.15	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Facility		$87.10	$87.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $85.11	Professional		$69.18	$69.18	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $81.28	Facility		$40.74	$60.26	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $295.12	Professional		$23.44	$29.51	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $64.57	Professional		$53.70	$64.57	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $107.15	Professional		$53.70	$53.70	$107.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $79.43	Professional		$57.54	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $60.26	Professional		$20.42	$23.99	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48