Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $16.07 / $21.11	Professional		$15.32	$16.07	$21.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.15 / $27.72	Facility		$12.09	$15.15	$27.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $29.25 / $36.56	Professional		$27.72	$29.25	$36.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $27.56 / $113.07	Facility		$17.23	$27.56	$113.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $17.82 / $28.82	Professional		$8.93	$17.82	$28.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $27.72 / $36.28	Facility		$23.06	$27.72	$36.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $28.11 / $52.97	Professional		$21.69	$28.11	$52.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $21.89 / $26.03	Professional		$18.69	$21.89	$26.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.58 / $18.98	Professional		$8.36	$12.58	$18.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $22.68 / $22.68	Professional		$22.68	$22.68	$22.68