Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $27.27 / $27.27	Facility		$27.27	$27.27	$27.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $27.27 / $27.27	Professional		$18.73	$27.27	$27.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Facility		$39.82	$39.82	$39.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $39.82 / $49.78	Professional		$25.19	$39.82	$49.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $31.65 / $51.32	Facility		$22.27	$31.65	$51.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $16.54 / $184.46	Professional		$11.92	$16.54	$184.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $42.23 / $64.48	Facility		$24.19	$42.23	$64.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $40.27 / $54.05	Professional		$24.46	$40.27	$54.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $28.47	Professional		$28.47	$28.47	$28.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $14.64 / $30.32	Professional		$11.74	$14.64	$30.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $30.00 / $30.00	Professional		$24.50	$30.00	$30.00