Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $33.88	Professional		$12.02	$25.70	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $77.62	Facility		$63.10	$63.10	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $77.62	Facility		$28.84	$42.66	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $269.15	Professional		$16.60	$20.89	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $45.71	Professional		$38.02	$45.71	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $75.86	Professional		$38.02	$38.02	$75.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $54.95	Professional		$35.48	$41.69	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $42.66	Professional		$13.80	$17.78	$42.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02