Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Facility		$14.48	$14.48	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.48 / $15.52	Professional		$14.48	$14.48	$15.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $42.50	Facility		$34.00	$34.00	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $26.25 / $32.81	Professional		$26.25	$26.25	$32.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $24.68 / $31.04	Facility		$21.24	$24.68	$31.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $18.09 / $113.05	Professional		$9.05	$18.09	$113.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $25.87 / $32.67	Facility		$24.90	$25.87	$32.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.97 / $38.18	Professional		$20.77	$24.97	$38.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $22.70 / $30.05	Professional		$18.93	$22.70	$30.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $11.33 / $18.88	Professional		$7.54	$11.33	$18.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43