Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $47.86	Professional		$25.12	$37.15	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $74.13	Facility		$37.15	$37.15	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $125.89	Facility		$50.12	$66.07	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $331.13	Professional		$26.30	$41.69	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $72.44	Professional		$60.26	$72.44	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $120.23	Professional		$60.26	$60.26	$120.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $89.13	Professional		$54.95	$66.07	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $69.18	Professional		$26.30	$33.11	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66