Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $42.58 / $42.58	Facility		$42.58	$42.58	$42.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $36.84 / $42.58	Professional		$18.16	$36.84	$42.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $36.71 / $67.09	Facility		$34.22	$36.71	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $88.59	Professional		$70.88	$70.88	$88.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.36 / $66.89 / $285.48	Facility		$42.36	$66.89	$285.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $39.51 / $66.89	Professional		$24.70	$39.51	$66.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $67.09 / $105.09	Facility		$55.78	$67.09	$105.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $68.04 / $128.19	Professional		$54.94	$68.04	$128.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $60.52 / $71.93	Professional		$51.71	$60.52	$71.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $30.92 / $51.54	Professional		$21.39	$30.92	$51.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $57.94 / $57.94	Professional		$57.94	$57.94	$57.94