Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.02 / $15.85	Professional		$5.01	$12.02	$15.85
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 $23.44 / $23.44 / $28.84	Professional		$23.44	$23.44	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.95 / $27.54	Facility		$12.30	$19.95	$27.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $100.00	Professional		$7.94	$10.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Professional		$18.20	$21.88	$21.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $36.31	Professional		$18.20	$18.20	$36.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $26.30	Professional		$19.05	$19.95	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.51 / $19.95	Professional		$6.61	$8.51	$19.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20