Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Facility		$14.99	$14.99	$14.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $16.07	Professional		$14.99	$14.99	$16.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $43.75	Facility		$35.00	$35.00	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $34.22	Professional		$27.38	$27.38	$34.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $25.57 / $32.14	Facility		$21.29	$25.57	$32.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $18.72 / $117.03	Professional		$9.36	$18.72	$117.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $26.78 / $33.83	Facility		$25.78	$26.78	$33.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $25.85 / $39.52	Professional		$21.49	$25.85	$39.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $23.50 / $31.10	Professional		$19.59	$23.50	$31.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.72 / $19.54	Professional		$7.80	$11.72	$19.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Professional		$21.15	$21.15	$21.15