Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Facility		$39.40	$39.40	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $35.46 / $39.40	Professional		$33.46	$35.46	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $62.08	Facility		$33.22	$33.22	$62.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $82.03	Professional		$65.63	$65.63	$82.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $61.90 / $264.05	Facility		$39.20	$61.90	$264.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $36.54 / $61.90	Professional		$22.84	$36.54	$61.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $62.08 / $97.21	Facility		$51.62	$62.08	$97.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $62.96 / $118.63	Professional		$50.84	$62.96	$118.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $56.00 / $66.56	Professional		$47.82	$56.00	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $28.60 / $47.67	Professional		$19.79	$28.60	$47.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $53.62 / $53.62	Professional		$53.62	$53.62	$53.62