Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $27.20 / $28.49	Professional		$23.65	$27.20	$28.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $19.38	Facility		$15.50	$15.50	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $13.13	Professional		$10.50	$10.50	$13.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $38.52 / $48.15	Facility		$12.39	$38.52	$48.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $103.73 / $103.73	Professional		$103.73	$103.73	$103.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $10.75 / $10.75	Facility		$10.34	$10.75	$10.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $10.75 / $12.61	Professional		$9.39	$10.75	$12.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $24.22 / $24.22	Professional		$24.22	$24.22	$24.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50