Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $12.30 / $12.30	Professional		$8.77	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $26.11 / $26.11	Facility		$26.11	$26.11	$26.11
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 $7.44 / $14.82 / $113.00	Facility		$7.44	$14.82	$113.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.78 / $29.18	Professional		$7.85	$11.78	$29.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $16.20 / $26.67	Facility		$10.32	$16.20	$26.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $21.44 / $34.15	Professional		$10.32	$21.44	$34.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $31.54 / $38.58	Professional		$21.83	$31.54	$38.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.78 / $15.71	Professional		$5.50	$11.78	$15.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $13.09	Professional		$13.09	$13.09	$13.09