Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.66 / $43.66 / $43.66	Facility		$43.66	$43.66	$43.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $37.07 / $43.42	Professional		$33.70	$37.07	$43.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $68.78	Facility		$35.07	$35.07	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $90.94	Professional		$72.75	$72.75	$90.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $73.38 / $292.55	Facility		$42.01	$73.38	$292.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $40.47 / $68.56	Professional		$25.30	$40.47	$68.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $68.78 / $107.70	Facility		$57.19	$68.78	$107.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $69.75 / $131.44	Professional		$56.34	$69.75	$131.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $62.03 / $73.73	Professional		$52.97	$62.03	$73.73
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $31.69 / $52.81	Professional		$21.92	$31.69	$52.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Professional		$59.40	$59.40	$59.40