Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $57.53	Facility		$11.65	$11.65	$57.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $17.76 / $22.06	Professional		$11.65	$17.76	$22.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $24.81	Facility		$24.81	$24.81	$24.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $14.03 / $112.08	Facility		$9.39	$14.03	$112.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.15 / $21.29	Professional		$7.24	$11.15	$21.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $24.61 / $25.23	Facility		$15.99	$24.61	$25.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $25.23 / $32.34	Professional		$15.65	$25.23	$32.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $28.93 / $34.04	Professional		$17.03	$28.93	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.43 / $17.32	Professional		$5.20	$7.43	$17.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Professional		$12.39	$12.39	$12.39