Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Facility		$20.45	$20.45	$20.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $20.45 / $32.64	Professional		$11.10	$20.45	$32.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $43.08 / $43.08	Facility		$43.08	$43.08	$43.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.17 / $48.96	Professional		$24.78	$39.17	$48.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $24.64 / $103.36	Facility		$19.22	$24.64	$103.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $19.57 / $26.11	Professional		$8.38	$19.57	$26.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $36.09 / $39.90	Facility		$26.63	$36.09	$39.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $33.26 / $56.79	Professional		$18.14	$33.26	$56.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $50.81 / $59.78	Professional		$21.76	$50.81	$59.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $13.06 / $24.66	Professional		$8.38	$13.06	$24.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $21.76 / $21.76	Professional		$21.76	$21.76	$21.76