Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Facility		$15.90	$15.90	$15.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.90 / $122.40	Professional		$11.33	$15.90	$122.40
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 $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $21.78 / $100.00	Facility		$16.20	$21.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $15.22 / $34.79	Professional		$10.15	$15.22	$34.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $34.45 / $48.55	Facility		$21.82	$34.45	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $34.45 / $46.55	Professional		$21.82	$34.45	$46.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $39.49 / $46.46	Professional		$27.61	$39.49	$46.46
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $11.83 / $20.29	Professional		$7.10	$11.83	$20.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Professional		$16.91	$16.91	$16.91