Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Facility		$11.81	$11.81	$11.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.81 / $11.81	Professional		$8.42	$11.81	$11.81
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 $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $14.23 / $97.75	Facility		$10.22	$14.23	$97.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $11.30 / $15.07	Professional		$4.07	$11.30	$15.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $25.60 / $27.91	Facility		$16.20	$25.60	$27.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $27.91 / $34.36	Professional		$8.80	$27.91	$34.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $29.33 / $34.50	Professional		$12.56	$29.33	$34.50
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $7.54 / $15.07	Professional		$4.07	$7.54	$15.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $12.56 / $12.56	Professional		$12.56	$12.56	$12.56