Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $16.04 / $16.04	Facility		$16.04	$16.04	$16.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $16.04 / $16.04	Professional		$11.43	$16.04	$16.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $33.95 / $33.95	Facility		$33.95	$33.95	$33.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $19.32 / $188.00	Facility		$16.34	$19.32	$188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $15.35 / $23.88	Professional		$8.11	$15.35	$23.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $31.29 / $41.08	Facility		$22.01	$31.29	$41.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $28.63 / $44.53	Professional		$17.55	$28.63	$44.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $39.84 / $46.87	Professional		$19.10	$39.84	$46.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $15.35 / $23.88	Professional		$7.17	$15.35	$23.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05