Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $25.12	Facility		$20.89	$20.89	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $25.12	Professional		$12.88	$18.20	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $42.66	Professional		$20.42	$33.88	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $40.74	Facility		$14.45	$21.38	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.02 / $147.91	Professional		$8.13	$12.02	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $23.99	Professional		$8.13	$11.75	$23.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82