Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Facility		$12.10	$12.10	$12.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.10 / $12.10	Professional		$8.61	$12.10	$12.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $19.80 / $169.00	Facility		$9.39	$19.80	$169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.58 / $25.64	Professional		$7.72	$11.58	$25.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $26.22 / $28.61	Facility		$16.61	$26.22	$28.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $28.00 / $35.47	Professional		$16.61	$28.00	$35.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $30.05 / $35.36	Professional		$20.34	$30.05	$35.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $8.72 / $15.44	Professional		$5.41	$8.72	$15.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $12.87	Professional		$12.87	$12.87	$12.87