Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $21.75 / $21.75	Facility		$21.75	$21.75	$21.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $21.75 / $21.75	Professional		$14.94	$21.75	$21.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $31.99 / $39.97	Professional		$20.23	$31.99	$39.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $23.72 / $40.94	Facility		$14.94	$23.72	$40.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $13.19 / $147.55	Professional		$8.49	$13.19	$147.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $32.11 / $51.56	Facility		$19.57	$32.11	$51.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $32.11 / $51.56	Professional		$19.80	$32.11	$51.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.71 / $21.76	Professional		$9.36	$11.71	$21.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $171.40 / $171.40	Professional		$171.40	$171.40	$171.40