Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $32.25	Professional		$30.08	$30.08	$32.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $70.50 / $88.13	Facility		$70.50	$70.50	$88.13
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 $47.18 / $54.50 / $88.37	Facility		$47.18	$54.50	$88.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $37.60 / $609.54	Professional		$18.80	$37.60	$609.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $53.75 / $67.90	Facility		$51.74	$53.75	$67.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $52.64 / $103.30	Professional		$43.15	$52.64	$103.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $47.18 / $62.45	Professional		$39.36	$47.18	$62.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $23.54 / $39.22	Professional		$15.66	$23.54	$39.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $42.46	Professional		$42.46	$42.46	$42.46