Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $49.63 / $49.63	Facility		$49.63	$49.63	$49.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $49.63 / $57.86	Professional		$46.25	$49.63	$57.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $65.18	Facility		$37.03	$37.03	$65.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $68.63 / $85.78	Professional		$68.63	$68.63	$85.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $76.73 / $321.47	Facility		$49.57	$76.73	$321.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $39.42 / $70.31	Professional		$23.61	$39.42	$70.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $65.18 / $113.71	Facility		$54.20	$65.18	$113.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $66.09 / $124.55	Professional		$53.39	$66.09	$124.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $57.86 / $68.78	Professional		$49.42	$57.86	$68.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $39.42 / $50.82	Professional		$23.14	$39.42	$50.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $58.07 / $58.07	Professional		$58.07	$58.07	$58.07