Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $26.30	Facility		$12.88	$12.88	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $22.39	Professional		$12.88	$12.88	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.60	Professional		$13.49	$13.49	$16.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $181.97	Facility		$30.20	$52.48	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $30.90	Professional		$22.39	$30.90	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $147.91	Professional		$14.45	$14.45	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $33.11	Professional		$13.18	$13.18	$33.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84