Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Facility		$17.00	$17.00	$17.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $17.00 / $17.00	Professional		$12.12	$17.00	$17.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $32.64 / $40.79	Professional		$20.86	$32.64	$40.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $20.48 / $85.93	Facility		$17.07	$20.48	$85.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $16.28 / $27.14	Professional		$9.23	$16.28	$27.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $33.08 / $39.43	Facility		$21.71	$33.08	$39.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $39.43 / $47.21	Professional		$21.72	$39.43	$47.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $43.58 / $49.70	Professional		$18.09	$43.58	$49.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $16.28 / $18.09	Professional		$7.60	$16.28	$18.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Professional		$18.09	$18.09	$18.09