Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.74 / $56.23	Professional		$18.20	$40.74	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $74.13	Facility		$39.81	$48.98	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $72.44 / $123.03	Facility		$44.67	$72.44	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $323.59	Professional		$26.30	$38.02	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $72.44	Professional		$60.26	$72.44	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $117.49	Professional		$60.26	$60.26	$117.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $87.10	Professional		$54.95	$66.07	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $66.07	Professional		$26.30	$33.11	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10