Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $12.45 / $70.22	Facility		$12.45	$12.45	$70.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $23.58 / $145.80	Professional		$18.98	$23.58	$145.80
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 $12.68 / $21.22 / $83.15	Facility		$12.68	$21.22	$83.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.92 / $27.24	Professional		$7.94	$11.92	$27.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $26.98 / $41.51	Facility		$13.45	$26.98	$41.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $22.22 / $36.57	Professional		$13.45	$22.22	$36.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $30.92 / $36.36	Professional		$21.62	$30.92	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $9.26 / $15.89	Professional		$5.56	$9.26	$15.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24