Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $22.39	Professional		$8.91	$12.88	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $37.15	Facility		$30.20	$30.20	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $28.18	Professional		$22.39	$22.91	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.44 / $54.95	Facility		$13.80	$23.44	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $154.88	Professional		$10.47	$11.75	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $32.36	Professional		$28.84	$32.36	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Professional		$42.66	$42.66	$47.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $23.44	Professional		$7.94	$11.48	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66