Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $46.77	Professional		$25.12	$36.31	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $72.44	Facility		$38.02	$38.02	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $123.03	Facility		$50.12	$64.57	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $323.59	Professional		$25.70	$40.74	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $70.79	Professional		$58.88	$70.79	$70.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Professional		$58.88	$58.88	$117.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $87.10	Professional		$53.70	$64.57	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $67.61	Professional		$25.70	$32.36	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26