Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $20.99 / $22.80	Professional		$19.03	$20.99	$22.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $20.99 / $25.97	Professional		$20.78	$20.99	$25.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $26.94 / $51.62	Facility		$20.26	$26.94	$51.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $20.99	Professional		$18.84	$18.84	$20.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $26.02 / $37.94	Facility		$22.60	$26.02	$37.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $24.97 / $51.94	Professional		$22.60	$24.97	$51.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $23.09	Professional		$20.99	$20.99	$23.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Facility		$18.84	$18.84	$18.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Professional		$18.84	$18.84	$18.84