Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $57.54	Professional		$33.88	$37.15	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $83.18	Facility		$44.67	$44.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $97.72	Professional		$77.62	$79.43	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $177.83	Facility		$51.29	$74.13	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $630.96	Professional		$28.84	$46.77	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Professional		$83.18	$83.18	$97.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Professional		$72.44	$72.44	$85.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $89.13	Professional		$67.61	$75.86	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $79.43	Professional		$26.92	$34.67	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28