Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $18.85 / $18.85	Facility		$18.85	$18.85	$18.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $15.64 / $18.85	Professional		$13.43	$15.64	$18.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Facility		$39.82	$39.82	$39.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $36.56 / $45.70	Professional		$28.29	$36.56	$45.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $31.86 / $59.31	Facility		$19.20	$31.86	$59.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $18.05 / $164.83	Professional		$12.03	$18.05	$164.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $43.94 / $62.86	Facility		$25.87	$43.94	$62.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $40.85 / $57.46	Professional		$24.06	$40.85	$57.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $48.31 / $55.08	Professional		$32.75	$48.31	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.03 / $20.05	Professional		$8.42	$14.03	$20.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Professional		$20.05	$20.05	$20.05