Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Facility		$14.32	$14.32	$14.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $18.00 / $24.21	Professional		$14.32	$18.00	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $13.39 / $13.60	Professional		$10.71	$13.39	$13.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $18.00 / $30.42	Facility		$14.32	$18.00	$30.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $60.62 / $154.65	Professional		$31.91	$60.62	$154.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $37.68 / $44.47	Facility		$37.68	$37.68	$44.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $37.68	Professional		$37.68	$37.68	$37.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
United Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $45.28 / $45.28	Professional		$29.44	$45.28	$45.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50