Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Facility		$18.41	$18.41	$18.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $18.41 / $21.43	Professional		$13.13	$18.41	$21.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $39.17 / $39.17	Facility		$39.17	$39.17	$39.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $31.40 / $93.18	Facility		$18.78	$31.40	$93.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.63 / $40.31	Professional		$11.75	$17.63	$40.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $39.90 / $61.00	Facility		$25.28	$39.90	$61.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $43.53 / $56.13	Professional		$25.28	$43.53	$56.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $47.20 / $53.82	Professional		$29.39	$47.20	$53.82
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $13.70 / $23.51	Professional		$8.23	$13.70	$23.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59