Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $51.29	Professional		$26.92	$38.90	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Facility		$38.90	$38.90	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $102.33	Professional		$81.28	$81.28	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $134.90	Facility		$53.70	$70.79	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $354.81	Professional		$28.18	$44.67	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $77.62	Professional		$64.57	$77.62	$77.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Professional		$64.57	$64.57	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $93.33	Professional		$58.88	$70.79	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $74.13	Professional		$28.18	$35.48	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07