Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Facility		$41.92	$41.92	$41.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $44.93 / $55.05	Professional		$18.53	$44.93	$55.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $48.77 / $72.30	Facility		$39.47	$48.77	$72.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $76.13 / $95.16	Professional		$76.13	$76.13	$95.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $75.93 / $308.79	Facility		$44.93	$75.93	$308.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $39.99 / $75.13	Professional		$26.18	$39.99	$75.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.12 / $72.30 / $94.60	Facility		$60.12	$72.30	$94.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $73.30 / $138.16	Professional		$56.58	$73.30	$138.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $64.19 / $76.30	Professional		$54.82	$64.19	$76.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $32.79 / $65.73	Professional		$21.82	$32.79	$65.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $62.44	Professional		$62.44	$62.44	$62.44