Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.53	Professional		$30.23	$30.23	$30.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $51.94 / $65.13	Facility		$41.55	$51.94	$65.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $36.44 / $38.67	Professional		$30.94	$36.44	$38.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $51.21 / $54.41	Facility		$30.30	$51.21	$54.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $2,212.73	Professional		$30.30	$30.30	$2,212.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $39.61 / $45.71	Facility		$36.36	$39.61	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $36.56 / $45.71	Professional		$36.36	$36.56	$45.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $33.08 / $33.08	Professional		$33.08	$33.08	$33.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $33.25	Professional		$30.23	$30.23	$33.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Professional		$30.30	$30.30	$30.30