Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.17 / $24.02	Professional		$19.97	$20.17	$24.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Facility		$20.36	$20.36	$20.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.97 / $24.61	Professional		$19.69	$19.97	$24.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $28.39 / $54.39	Facility		$22.66	$28.39	$54.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.85 / $21.84	Professional		$19.32	$19.85	$21.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $23.32 / $33.81	Facility		$23.19	$23.32	$33.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $23.19 / $40.72	Professional		$20.28	$23.19	$40.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $21.85 / $21.85	Professional		$21.85	$21.85	$21.85
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.97	Professional		$19.97	$19.97	$21.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Facility		$19.85	$19.85	$19.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Professional		$19.85	$19.85	$19.85