Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.33 / $112.53	Facility		$10.00	$21.33	$112.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.58 / $33.04	Professional		$10.00	$15.58	$33.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $72.43 / $86.78	Professional		$69.42	$72.43	$86.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $13.71 / $22.22	Facility		$11.60	$13.71	$22.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $25.58 / $53.80	Professional		$14.21	$25.58	$53.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $37.65 / $53.44	Facility		$26.14	$37.65	$53.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $37.65 / $50.46	Professional		$26.14	$37.65	$50.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $30.74 / $53.80	Professional		$14.21	$30.74	$53.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20