Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $51.81 / $52.68	Facility		$41.45	$51.81	$52.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $29.91 / $31.17	Professional		$24.94	$29.91	$31.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $51.88 / $63.08	Facility		$30.70	$51.88	$63.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $30.70 / $135.06	Professional		$29.91	$30.70	$135.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $39.77 / $45.89	Facility		$29.36	$39.77	$45.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $36.84 / $42.26	Professional		$29.36	$36.84	$42.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Professional		$32.74	$32.74	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $32.90	Professional		$29.91	$29.91	$32.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Facility		$30.70	$30.70	$30.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70