Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.29 / $11.29	Facility		$11.29	$11.29	$11.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $31.20 / $32.13	Professional		$11.29	$31.20	$32.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $24.15 / $24.15	Facility		$24.15	$24.15	$24.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $19.25 / $78.00	Facility		$11.51	$19.25	$78.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.81 / $14.41	Professional		$4.07	$10.81	$14.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $24.46 / $37.65	Facility		$15.50	$24.46	$37.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $25.86 / $33.33	Professional		$8.80	$25.86	$33.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $28.04 / $32.99	Professional		$12.01	$28.04	$32.99
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.81 / $15.85	Professional		$4.07	$10.81	$15.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $12.01	Professional		$12.01	$12.01	$12.01