Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $18.73 / $18.73	Facility		$18.73	$18.73	$18.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $20.07	Professional		$18.73	$18.73	$20.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $55.00	Facility		$44.00	$44.00	$55.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $34.13 / $42.66	Professional		$34.13	$34.13	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $31.95 / $40.15	Facility		$27.48	$31.95	$40.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $23.40 / $146.31	Professional		$11.70	$23.40	$146.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $33.46 / $42.28	Facility		$32.22	$33.46	$42.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $32.32 / $49.43	Professional		$26.86	$32.32	$49.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $29.38 / $38.89	Professional		$24.50	$29.38	$38.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $14.65 / $24.42	Professional		$9.76	$14.65	$24.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $26.44 / $26.44	Professional		$26.44	$26.44	$26.44