Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $19.80	Facility		$19.80	$19.80	$19.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $19.80 / $19.80	Professional		$14.12	$19.80	$19.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $41.78 / $41.78	Facility		$41.78	$41.78	$41.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $32.84 / $196.00	Facility		$20.19	$32.84	$196.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $18.96 / $43.35	Professional		$12.64	$18.96	$43.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $42.92 / $66.05	Facility		$27.18	$42.92	$66.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $45.52 / $58.74	Professional		$27.18	$45.52	$58.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $49.20 / $57.88	Professional		$34.40	$49.20	$57.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $18.96 / $27.81	Professional		$8.85	$18.96	$27.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $21.07	Professional		$21.07	$21.07	$21.07