Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $17.09 / $17.09	Facility		$17.09	$17.09	$17.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $18.30	Professional		$17.09	$17.09	$18.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Facility		$40.00	$40.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $31.13 / $38.90	Professional		$29.47	$31.13	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $29.17 / $36.61	Facility		$25.08	$29.17	$36.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $21.35 / $133.41	Professional		$10.68	$21.35	$133.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $30.53 / $38.56	Facility		$29.39	$30.53	$38.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $29.47 / $45.11	Professional		$24.51	$29.47	$45.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $26.79 / $35.46	Professional		$22.35	$26.79	$35.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $13.37 / $22.28	Professional		$8.90	$13.37	$22.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Professional		$24.11	$24.11	$24.11