Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $13.61 / $52.45	Facility		$13.61	$13.61	$52.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $13.61 / $64.08	Professional		$10.14	$13.61	$64.08
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 $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $16.39 / $100.00	Facility		$13.87	$16.39	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $13.03 / $19.34	Professional		$6.57	$13.03	$19.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $26.55 / $36.09	Facility		$18.69	$26.55	$36.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $24.30 / $37.79	Professional		$14.21	$24.30	$37.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $33.81 / $39.78	Professional		$15.47	$33.81	$39.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $8.69 / $17.38	Professional		$6.08	$8.69	$17.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Professional		$14.48	$14.48	$14.48