Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Facility		$39.60	$39.60	$39.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $36.72 / $46.67	Professional		$31.94	$36.72	$46.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $51.74	Facility		$30.59	$30.59	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $54.75 / $68.44	Professional		$54.75	$54.75	$68.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $78.87 / $220.66	Facility		$42.90	$78.87	$220.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $33.50 / $53.79	Professional		$19.04	$33.50	$53.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $51.74 / $81.25	Facility		$43.03	$51.74	$81.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $52.49 / $98.90	Professional		$42.40	$52.49	$98.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $46.67 / $55.47	Professional		$39.86	$46.67	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $31.79 / $39.74	Professional		$16.54	$31.79	$39.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $46.10 / $46.10	Professional		$46.10	$46.10	$46.10