Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.48 / $12.48	Professional		$8.90	$12.48	$12.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $26.76 / $26.76	Facility		$26.76	$26.76	$26.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $21.29 / $63.08	Facility		$12.73	$21.29	$63.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.95 / $27.32	Professional		$7.97	$11.95	$27.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $27.06 / $36.60	Facility		$17.14	$27.06	$36.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $29.50 / $35.93	Professional		$17.14	$29.50	$35.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $32.00 / $36.47	Professional		$19.92	$32.00	$36.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $9.28 / $15.94	Professional		$5.58	$9.28	$15.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Professional		$13.28	$13.28	$13.28