Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $42.81 / $42.81	Facility		$42.81	$42.81	$42.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $37.89 / $44.10	Professional		$14.53	$37.89	$44.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $53.41	Facility		$29.97	$35.00	$53.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $59.25 / $74.06	Professional		$57.56	$59.25	$74.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $53.25 / $230.54	Facility		$33.31	$53.25	$230.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $34.67 / $52.01	Professional		$17.98	$34.67	$52.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $53.41 / $84.09	Facility		$44.41	$53.41	$84.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $54.15 / $102.06	Professional		$43.73	$54.15	$102.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $44.10 / $52.42	Professional		$37.65	$44.10	$52.42
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $28.78 / $37.54	Professional		$17.12	$28.78	$37.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Professional		$47.58	$47.58	$47.58