Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Facility		$10.93	$10.93	$10.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $6.16 / $10.93	Professional		$6.16	$6.16	$10.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.50 / $23.50	Facility		$23.50	$23.50	$23.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $18.66 / $100.00	Facility		$11.14	$18.66	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.47 / $13.96	Professional		$4.07	$10.47	$13.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $23.71 / $36.46	Facility		$15.01	$23.71	$36.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $25.86 / $33.33	Professional		$8.78	$25.86	$33.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $27.16 / $31.95	Professional		$11.63	$27.16	$31.95
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.47 / $15.35	Professional		$4.07	$10.47	$15.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.63 / $11.63	Professional		$11.63	$11.63	$11.63