Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $20.30	Facility		$20.30	$20.30	$20.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $20.30 / $21.78	Professional		$20.30	$20.30	$21.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $47.50 / $59.38	Facility		$47.50	$47.50	$59.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $36.75 / $45.94	Professional		$36.75	$36.75	$45.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $34.64 / $43.56	Facility		$28.58	$34.64	$43.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $25.38 / $158.66	Professional		$12.69	$25.38	$158.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $36.29 / $45.85	Facility		$34.93	$36.29	$45.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $35.04 / $53.60	Professional		$29.14	$35.04	$53.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $31.86 / $42.17	Professional		$26.57	$31.86	$42.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $26.49 / $42.06	Professional		$10.58	$26.49	$42.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Professional		$28.67	$28.67	$28.67