Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.10 / $14.10	Facility		$14.10	$14.10	$14.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.10 / $14.10	Professional		$10.05	$14.10	$14.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $21.16 / $79.00	Facility		$14.37	$21.16	$79.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $11.99 / $18.00	Professional		$4.07	$11.99	$18.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $27.50 / $47.03	Facility		$19.36	$27.50	$47.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $29.31 / $39.15	Professional		$8.80	$29.31	$39.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $35.03 / $41.21	Professional		$13.10	$35.03	$41.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $9.00 / $15.00	Professional		$4.07	$9.00	$15.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00