Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Facility		$27.99	$27.99	$27.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $30.01	Professional		$27.99	$27.99	$30.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $65.50 / $81.88	Facility		$65.50	$65.50	$81.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $63.75	Professional		$51.00	$51.00	$63.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $50.72 / $82.23	Facility		$43.90	$50.72	$82.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $34.97 / $394.00	Professional		$17.48	$34.97	$394.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $50.01 / $63.18	Facility		$48.14	$50.01	$63.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $48.97 / $96.13	Professional		$40.15	$48.97	$96.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $43.90 / $58.11	Professional		$36.61	$43.90	$58.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $21.90 / $36.50	Professional		$14.58	$21.90	$36.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $39.51 / $39.51	Professional		$39.51	$39.51	$39.51