Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $47.86	Professional		$21.88	$32.36	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $63.10	Facility		$31.62	$31.62	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $81.28	Professional		$66.07	$66.07	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $107.15	Facility		$42.66	$56.23	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $288.40	Professional		$22.91	$36.31	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $61.66	Professional		$51.29	$61.66	$61.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $102.33	Professional		$51.29	$51.29	$102.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $75.86	Professional		$47.86	$57.54	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $60.26	Professional		$22.39	$28.84	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70