Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $28.18	Professional		$14.13	$20.89	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $42.66	Facility		$21.38	$21.38	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $54.95	Professional		$44.67	$44.67	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $72.44	Facility		$29.51	$38.90	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $194.98	Professional		$15.49	$24.55	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $41.69	Professional		$34.67	$41.69	$41.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $69.18	Professional		$34.67	$34.67	$69.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $51.29	Professional		$32.36	$38.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $40.74	Professional		$15.14	$19.50	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31