Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $21.19 / $21.19	Facility		$21.19	$21.19	$21.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $21.19 / $22.72	Professional		$21.19	$21.19	$22.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $61.88	Facility		$49.50	$49.50	$61.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $38.63 / $48.28	Professional		$36.54	$38.63	$48.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $36.15 / $45.44	Facility		$31.10	$36.15	$45.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $26.47 / $165.49	Professional		$13.24	$26.47	$165.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $37.86 / $47.83	Facility		$36.45	$37.86	$47.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $36.54 / $55.92	Professional		$30.39	$36.54	$55.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $33.22 / $43.98	Professional		$27.72	$33.22	$43.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $26.47 / $43.86	Professional		$11.03	$26.47	$43.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91