Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $30.20	Facility		$15.14	$15.14	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $25.70	Professional		$15.14	$15.14	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.05	Professional		$15.14	$15.14	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $40.74	Facility		$18.20	$25.12	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $15.14	Professional		$12.88	$15.14	$15.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.60 / $16.60	Professional		$10.00	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $16.98	Professional		$15.14	$15.14	$16.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14