Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $13.43	Facility		$13.43	$13.43	$13.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $17.07 / $21.43	Professional		$9.57	$17.07	$21.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $28.72 / $28.72	Facility		$28.72	$28.72	$28.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $22.37 / $107.00	Facility		$13.69	$22.37	$107.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $8.57 / $17.14	Professional		$2.62	$8.57	$17.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $29.11 / $44.80	Facility		$18.45	$29.11	$44.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $31.75 / $40.93	Professional		$5.64	$31.75	$40.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $33.36 / $39.26	Professional		$8.42	$33.36	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $10.00 / $14.29	Professional		$2.62	$10.00	$14.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $14.29 / $14.29	Professional		$14.29	$14.29	$14.29