Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $70.79 / $100.00	Facility		$20.89	$70.79	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $36.31	Professional		$20.89	$20.89	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.92	Professional		$21.88	$21.88	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $31.62 / $60.26	Facility		$8.32	$31.62	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $21.88	Professional		$18.62	$21.88	$21.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $23.44	Professional		$18.20	$21.38	$23.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89