Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $63.70 / $79.63	Facility		$41.61	$63.70	$79.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $52.13 / $64.27	Professional		$51.41	$52.13	$64.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $83.01 / $83.84	Facility		$49.12	$83.01	$83.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $49.12 / $197.96	Professional		$49.12	$49.12	$197.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $58.94 / $67.26	Facility		$52.13	$58.94	$67.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $57.95 / $65.08	Professional		$36.35	$57.95	$65.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $42.18 / $42.18	Professional		$42.18	$42.18	$42.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.39	Professional		$38.54	$38.54	$42.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Facility		$49.12	$49.12	$49.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Professional		$49.12	$49.12	$49.12