Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $28.53 / $55.86	Facility		$7.67	$28.53	$55.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $42.16 / $118.86	Professional		$18.00	$42.16	$118.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.96 / $73.81	Facility		$45.70	$45.96	$73.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $93.38 / $116.72	Professional		$93.38	$93.38	$116.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $71.67 / $358.44	Facility		$45.88	$71.67	$358.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $52.63 / $82.00	Professional		$27.46	$52.63	$82.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $73.81 / $126.74	Facility		$61.39	$73.81	$126.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $74.87 / $141.09	Professional		$60.47	$74.87	$141.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $64.50 / $76.67	Professional		$55.09	$64.50	$76.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $38.44 / $54.92	Professional		$25.80	$38.44	$54.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75