Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $42.66	Professional		$22.91	$33.11	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $66.07	Facility		$43.65	$43.65	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $87.10	Professional		$69.18	$69.18	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $112.20	Facility		$45.71	$61.66	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $302.00	Professional		$23.99	$38.02	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $66.07	Professional		$54.95	$64.57	$66.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $107.15	Professional		$54.95	$54.95	$107.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $79.43	Professional		$50.12	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $63.10	Professional		$23.99	$30.20	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23