Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Facility		$10.48	$10.48	$10.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.94 / $10.48	Professional		$7.47	$9.94	$10.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $22.20	Facility		$22.20	$22.20	$22.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $20.23 / $25.30	Professional		$12.80	$20.23	$25.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $17.89 / $100.00	Facility		$10.68	$17.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $10.03 / $22.95	Professional		$6.69	$10.03	$22.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $22.72 / $34.96	Facility		$14.39	$22.72	$34.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $22.72 / $31.03	Professional		$14.39	$22.72	$31.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $26.04 / $30.63	Professional		$18.22	$26.04	$30.63
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.80 / $15.58	Professional		$4.68	$7.80	$15.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $11.15	Professional		$11.15	$11.15	$11.15