Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $21.39 / $21.39	Facility		$21.39	$21.39	$21.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $21.39 / $26.38	Professional		$15.24	$21.39	$26.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $45.04 / $45.04	Facility		$45.04	$45.04	$45.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $41.13 / $51.41	Professional		$31.83	$41.13	$51.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $32.15 / $59.31	Facility		$21.79	$32.15	$59.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $18.21 / $176.00	Professional		$13.65	$18.21	$176.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $44.57 / $71.31	Facility		$29.36	$44.57	$71.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $41.72 / $58.82	Professional		$27.30	$41.72	$58.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $54.58 / $62.50	Professional		$32.75	$54.58	$62.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $14.03 / $22.75	Professional		$9.56	$14.03	$22.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $22.75	Professional		$22.75	$22.75	$22.75