Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.10 / $14.10	Facility		$14.10	$14.10	$14.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.10 / $14.10	Professional		$10.05	$14.10	$14.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $19.22 / $71.25	Facility		$14.37	$19.22	$71.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $13.50 / $24.66	Professional		$8.38	$13.50	$24.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $27.50 / $43.59	Facility		$19.36	$27.50	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $27.00 / $39.15	Professional		$18.14	$27.00	$39.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $35.03 / $41.21	Professional		$19.73	$35.03	$41.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.00 / $18.00	Professional		$6.30	$9.00	$18.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00