Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $30.90	Professional		$15.85	$23.99	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $47.86	Facility		$26.92	$26.92	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $61.66	Professional		$50.12	$50.12	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $43.65 / $81.28	Facility		$32.36	$43.65	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $213.80	Professional		$17.38	$27.54	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $46.77	Professional		$38.90	$46.77	$46.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $77.62	Professional		$38.90	$38.90	$77.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $57.54	Professional		$36.31	$43.65	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $45.71	Professional		$16.98	$21.88	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74