Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Facility		$25.45	$25.45	$25.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $18.14 / $25.45	Professional		$11.33	$18.14	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Facility		$54.18	$54.18	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $28.58 / $128.58	Facility		$12.08	$28.58	$128.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $17.73 / $32.47	Professional		$6.03	$17.73	$32.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $35.33 / $49.64	Facility		$13.02	$35.33	$49.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $24.38 / $70.65	Professional		$13.02	$24.38	$70.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $63.21 / $74.37	Professional		$19.39	$63.21	$74.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $16.23 / $31.13	Professional		$6.03	$16.23	$31.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Professional		$27.07	$27.07	$27.07