Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $38.99 / $38.99	Facility		$38.99	$38.99	$38.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $38.99 / $41.80	Professional		$38.99	$38.99	$41.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $113.75	Facility		$91.00	$91.00	$113.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $88.59	Professional		$70.88	$70.88	$88.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $70.64 / $114.53	Facility		$61.14	$70.64	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $48.72 / $724.41	Professional		$24.36	$48.72	$724.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $69.66 / $88.00	Facility		$67.06	$69.66	$88.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $68.20 / $133.88	Professional		$55.92	$68.20	$133.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $61.14 / $80.92	Professional		$51.00	$61.14	$80.92
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $48.72 / $50.84	Professional		$20.30	$48.72	$50.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $55.03 / $55.03	Professional		$55.03	$55.03	$55.03