Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $14.95	Facility		$14.95	$14.95	$14.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $14.95 / $14.95	Professional		$10.65	$14.95	$14.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $23.90 / $99.00	Facility		$15.23	$23.90	$99.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $14.31 / $30.68	Professional		$9.53	$14.31	$30.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $30.37 / $49.85	Facility		$20.51	$30.37	$49.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $33.13 / $42.71	Professional		$20.51	$33.13	$42.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $37.13 / $43.68	Professional		$24.34	$37.13	$43.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.43 / $19.07	Professional		$6.68	$10.43	$19.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Professional		$15.90	$15.90	$15.90