Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $12.33	Facility		$12.33	$12.33	$12.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.82 / $18.80	Professional		$11.43	$11.82	$18.80
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 $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $21.04 / $128.35	Facility		$12.57	$21.04	$128.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $9.18 / $18.32	Professional		$7.43	$9.18	$18.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $26.73 / $41.13	Facility		$13.45	$26.73	$41.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $22.02 / $35.47	Professional		$13.45	$22.02	$35.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $30.64 / $36.04	Professional		$17.47	$30.64	$36.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $11.81 / $15.74	Professional		$5.51	$11.81	$15.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12