Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Facility		$12.81	$12.81	$12.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $13.72	Professional		$12.81	$12.81	$13.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $37.50	Facility		$30.00	$30.00	$37.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $23.25 / $29.06	Professional		$23.25	$23.25	$29.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $21.83 / $27.44	Facility		$13.71	$21.83	$27.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $15.99 / $99.95	Professional		$8.00	$15.99	$99.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $22.89 / $28.92	Facility		$22.01	$22.89	$28.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $22.08 / $33.76	Professional		$18.36	$22.08	$33.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $20.07 / $26.56	Professional		$16.73	$20.07	$26.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $15.99 / $23.10	Professional		$6.67	$15.99	$23.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05